Kodi insulin yokwera imatanthawuza chiyani m'magawo osiyanasiyana a shuga?
Madzi a insulin ndi amodzi mwa ofunika kwambiri m'thupi la munthu. Popanda iyo, magwiridwe antchito a machitidwe ambiri ndiosatheka. Choyamba, zimathandizira kudziwa kuchuluka kwa shuga m'magazi a munthu ndipo, ngati pakufunika, musinthe.
Koma nthawi zina ngakhale ndi shuga wabwinobwino, insulin imakulitsidwa kwambiri. Zomwe zimachitika izi, monga zikuwonetseredwa ndi kuchuluka kwa shuga kapena insulini m'magazi, kuposa momwe amawopsezera, ndizotsika.
Insulin ndi tanthauzo lake
Monga ananenera, palibe njira iliyonse m'thupi la munthu yomwe imayamba popanda insulini. Amathandizira nawo pakuwonongeka kwa mapuloteni ndi mafuta. Koma, zoona, ntchito yayikulu ndikuwongolera kuchuluka kwa shuga m'magazi. Ngati shuga asweka, mphamvu ya metabolism sidzachitika mthupi moyenera.
Insulin yathanzi, yathanzi yogwira ntchito imakhala yambiri:
- Ana, kuyambira 3.0 mpaka 20 μU / ml,
- Akuluakulu, kuyambira 3.0 mpaka 25 μU / ml.
Mwa anthu achikulire omwe zaka zawo zadutsa zaka 60-65, insulin ikhoza kukhala ndi kuchuluka kwa 35 mcU / ml. Zonsezi ndizizindikiro wamba. Ngati manambala apamwamba adapitilira, muyenera kukaonana ndi dokotala posachedwa - adzakhazikitsa zifukwa ndikufotokozera chifukwa chake insulini imakwezedwa modabwitsa.
Chidandaulo chachikulu chiyenera kukhala mkhalidwe momwe mahomoni amakwezedwa, ndipo shuga amakhalanso abwinobwino. Pofuna kuyang'anira kuchuluka kwa insulin ndi glucose kunyumba, glucometer iyenera kukhala pafupi.
Ndikofunikira kutenga miyezo ya shuga kangapo patsiku - makamaka osachepera 5, kuti mumvetse bwino.
Koma ngati izi sizingatheke, ndiye kuti shuga amayenera kuwunika kawiri patsiku: m'mawa mutadzuka, ndipo madzulo, asanagone.
Chifukwa insulin ndi yokwera - zifukwa
Ngati insulini imakwezedwa, izi nthawi zonse zimawonetsa kuvulaza kwakukulu m'thupi, china chake sichili bwino ndi thanzi. Choyamba, titha kufotokoza za chitukuko cha mtundu wachiwiri wa matenda ashuga - ndi mtundu uwu wa matendawa omwe amawonetsa ali amtunduwu.
Nthawi zambiri, milingo yokwezeka kwambiri imawonetsa matenda omwe amatchedwa Cushing's. Ndi acromegaly, mahomoni ambiri okula m'magazi amawerengedwa limodzi. Shuga, komabe, amakhalabe wabwinobwino.
Insulin yokwera ndi chimodzi mwazizindikiro za zovuta zazikulu za chiwindi. Nthawi zambiri, chizindikiro chofananacho chikuwonetsa kupezeka kwa insulinomas - chotupa chomwe chimatulutsa timadzi timeneti.
Dystrophic myotonia, matenda oopsa a neuromuscular, ndi chifukwa china chowonjezera cha kuchuluka kwa insulin. Mutha kukayikiranso gawo loyamba la kunenepa kwambiri komanso kuchepa kwa chidwi cha maselo am'mimba kupita ku mahomoni ndi ma carbohydrate omwe amachokera pamenepo.
Zomwe zimapangitsa kuti insulin iwonjezeke mwadzidzidzi, kupenda wodwalayo ndikofunikira.
Chofunikira: nthawi zambiri mahomoni a pancreatic amawonjezereka mwa azimayi panthawi yopaka. Amakhulupilira kuti popeza thupi limalowa mthupi latsopano, kusintha kotereku ndikwabwinobwino. Koma, komabe, ndikulimbikitsidwa kuwunikira thanzi lanu, zakudya komanso kunenepa.
Sitinganyalanyaze mfundo yoti kusintha kwa mahomoni m'thupi la mkazi nthawi zambiri kumalumikizidwa ndi ma neoplasms osiyanasiyana - makamaka, thumba losunga mazira kapena thumba losunga mazira limayamba. Chizindikiro pa nkhaniyi chikuwonjezeka ndipo ndikuthinitsidwa kwamphamvu kwa mafuta mu kukhuthala pamimba.
Matenda onse omwe ali pamwambawa amayamba kukhazikika motsutsana ndi kumbuyo kwa kuchuluka kwa insulin mthupi. Koma pali ma pathologies omwe amayamba m'malo mwake, kuchepa kapena kuwonongeka kwa insulin kapena shuga ya magazi.Kodi ayenera kuopa chiyani pamenepa?
Kuopsa kwa magwiritsidwe a insulin
Ngati kuchepa kwambiri kwa insulin, njira ziyenera kuchitidwa mwachangu, chifukwa izi zimatha kukhala chisonyezo cha zinthu ngati izi:
- Mtundu woyamba wa shuga
- Matenda a shuga
- Matenda a shuga
- Hypopituitarism ndimatenda omwe amaphatikizidwa ndi kusowa kwa pituitary.
Wodwala akakhala kuti wachita masewera olimbitsa thupi kwambiri, masewera olimbitsa thupi kwa nthawi yayitali, kuchuluka kwa insulin kumatha kutsika kwambiri. Mwachilengedwe, mulimonsemo, nthawi zonse mumayenera kulabadira zofunikira za zikondwerero ndi shuga - zimatha kukhala zazitali kuposa zabwinobwino ndi insulin yotsika.
Kudziwa kuchuluka kwa insulin kumatenga gawo lalikulu kwa odwala omwe apezeka posachedwa, sanakhazikitse mtundu wa matenda, ndipo sanasankhe njira zamankhwala. Pulogalamu yosankhidwa, yomwe wodwala matenda ashuga amayenera kutsatira kwa moyo wake wonse, zimatengera zomwe adazipeza.
Momwe mungadziwire kuchuluka kwa mahomoni mwakukhala bwino
Ndikofunikira kwambiri kudziyimira palokha mulingo wa insulin ndi shuga. Kuchita izi sikovuta ngati momwe zingawonekere, ngakhale pakalibe glucometer komanso kutha kupititsa mayeso a labotale - ndikukwanira kuyang'anira mosamala zizindikiro zomwe thupi limatumiza.
Ngakhale kusinthasintha pang'ono pa chiŵerengero cha mahomoni nthawi yomweyo kumakhudza kuchuluka kwa shuga. Zonsezi zimakhudza thanzi la wodwalayo.
Ngati chizindikiro cha insulini chikupatika pa chizindikiro chovomerezeka, chakwera kapena kuchepa, izi zitha kutsimikiziridwa ndi izi:
- M ludzu, womwe ndi wovuta kwambiri kuzimitsa,
- Khungu loyera
- Kukodza pafupipafupi,
- Lethargy
- Kutopa
Ngati kuchuluka kwa mahomoni kumakhala kukwezedwa kwa nthawi yayitali, kuchiritsa kwanthawi yayitali ngakhale kuvulala kochepa kwambiri, zikanda ndi mabala kumadziwika. Ichi ndichifukwa chake onse odwala matenda ashuga kuvulala kulikonse ndi ntchito siziyenera kwenikweni.
Mchitidwe wa kusinthika kwa minofu umakhala wosakwiya komanso wopweteka, mabala amakhala ndi kutupa komanso kuthandizira. Pa chifukwa chomwechi, mitsempha ya varicose, zilonda zam'mimba zambiri zimayambitsa gangore. M'malo otukuka, izi zimawopseza ndikudula miyendo.
Ngati kuchuluka kwa insulin kukwera kwambiri, nthawi zambiri shuga m'magazi amatsika nthawi yomweyo. Izi zikuwonetsedwa ndi zizindikiro izi:
- Zadzidzidzi za njala.
- Tachycardia, pafupipafupi zimachitika.
- Kunjenjemera mwamphamvu mthupi lonse.
- Kuchulukitsa thukuta.
- Mkhalidwe womwe watsala pang'ono kukomoka nawonso mwadzidzidzi.
Mawonetsedwe onsewa akuwonetsa kuti wodwala amafunikira chithandizo chamankhwala champhamvu, simungakayike
Kodi insulin yayikulu imatanthawuza chiyani?
Mlingo wa insulin umayendetsedwa ndi kuchuluka kwa glucose m'mitsempha yayikulu yamagazi. 3-20 mcU / ml ya magazi amaonedwa ngati abwinobwino.(werengani zambiri za zomwe zimayenera kukhala insulin m'magazi). Kuwonjezeka kwa mulingo uwu kumatha kuwonetsa matenda onse omwe angakhalepo, komanso kuperewera kwa zakudya m'thupi kapena kupsinjika kumene.
Mulimonsemo, kupitilira muyeso wokhazikitsidwa sikunganyalanyazidwe. Ndikofunikira kumvetsetsa zifukwa zowonjezerera ndi njira zothetsera.
Zifukwa zakukula
Chifukwa chiyani pali insulin yambiri m'magazi:
- zakudya zosayenera, monga kuzunza ma carbohydrate (makamaka othamanga, omwe amaphatikizapo ufa, wokoma ndi mowa),
- anjala yosalekeza, chakudya chambiri pakati pa chakudya
- zolimbitsa thupi mosalekeza,
- kupsinjika ndi mantha
- kunenepa kwambiri kwa anthu
- kuchuluka kwa chromium ndi vitamini E wambiri mthupi,
- matenda opatsirana, zotupa zam'mimba kapena adrenal gland, matenda a chiwindi.
Ndi shuga wabwinobwino
Nthawi zina zimachitika kuti mulingo wa insulini umakwezedwa, ndipo kuchuluka kwa shuga ndikwabwinobwino. Zotsatirazi ndizotheka:
- Njira zoyesera zidasokonekera. Zimadziwika kuti kusanthula kokhazikika komanso kopanda chidziwitso kumatha kupezeka kokha ngati munthu wadutsa pamimba yopanda kanthu. Mukatha kudya, shuga wambiri amatsika.
- Insulinoma. Ndi benign neoplasm yomwe imapanga insulin mwachangu. Nthawi zambiri, izi zimawonedwa ndi mavuto ndi chiwindi.
- Kukula kotheka kwa matenda ashuga a 2. Pankhaniyi, insulin yayikulu yokhala ndi shuga ochepa imakhala ngati chofunikira kwambiri kuti matendawa atukuke, amafunikira kuti mtsogolomo zitheke kukwera kwamisempha.
- Kunenepa kwambiri Zimayambitsa kuchepa kumvetsetsa kwamitsempha yama cell kupita ku insulin.
- Mimba Pakadali pano, thupi limasinthasintha ndikusintha, mogwirizana ndi momwe mulinso kuchuluka kwa mahomoni.
Pamwamba
Ngati onse mahomoni ndi shuga ali apamwamba kuposa zokhazikitsidwa, ndiye kuti izi zikusonyeza kuti insulini ingakane.
Pankhaniyi, kupanga insulin ndi kapamba ndizabwinobwino, koma zimakhala za thupi pazifukwa zina sizimamwa mokwanira. Mwanjira ina, maselo amalimbana ndi mahomoni awoawo.
Kukana kwa insulini sikuwonetsa nthawi zonse matenda. Zitha kuchitika pa nthawi yoyembekezera, kutha msambo kwa ana, mu gawo lachiwiri la kusamba kwa akazi.
Ngati tirikunena za zomwe zimayambitsa izi, titha kutcha zaka, kupezeka kwa kunenepa kwambiri, kusachita masewera olimbitsa thupi, kusuta fodya, kukonda zakudya zopatsa thanzi, chithandizo ndi nicotinic acid kapena beta-blockers.
Pansi
Ngati kusanthula kukuwonetsa insulin yayikulu komanso shuga wochepa, ndiye kuti izi zitha kuwonetsa mtundu woyambira wa matenda. Ikuwoneka ndi kuwonjezeka kwa mahomoni m'magazi chifukwa cha kupundika kwa glucagon.
Zifukwa zake zimakhala:
- Kuphwanya zakudya. Ndikulimbitsa thupi kwambiri popanda kuyamba kudya zakudya zamafuta pang'ono kapena kusala kudya kwanthawi yayitali, kutsika kowopsa kwa shuga. Komanso, kuchepa kwake kumawonedwa ndi kusanza, kutsekula m'mimba kapena mkaka wa mkaka.
- Kumwa mankhwala osokoneza bongo ochepetsa shuga. Amapatsidwa matenda a shuga, koma kugwiritsa ntchito kwawo molakwika sikubweretsa chilichonse chabwino.
- Kuvulala kwa chiwindi. Ndi matenda a cirrhosis kapena khansa ya chiwindi, njira za metabolic m'thupi zimasokonekera ndipo milingo ya glycogen imachepetsedwa.
- Kuperewera kwa enzymeomwe akuphatikizidwa pakusintha kwa shuga.
- Matenda angapo a endocrinezomwe zimapangitsa kutsika kwa mahomoni a contrainsulin.
Ndikofunika kuyang'anira ngati mungathe kuphatikiza gawo la izi:
- mumatopa msanga
- wanjala nthawi zonse
- mutatha kudya, kumverera kwodzaza kumatenga nthawi yayitali,
- ngakhale kuchita masewera olimbitsa thupi pang'ono kumabweretsa kupuma pang'ono,
- ulumbira kwambiri
- nthawi zina mumamva kupweteka kwamisempha
- miyendo imakonda kupindika,
- Khungu loyera limapezekapo
- mabala ndi abrasions amachiritsa pang'onopang'ono
Zizindikiro izi sizikuwonetsa kuchuluka kwamahomoni, koma ndi chifukwa choganizira vuto lomwe lingatheke ndikufunsani kwa dokotala.
Kodi bwanji ngati timadzi timene timakwezedwa mu kusanthula?
Ngati mwaulula insulin yayikulu, ndiye choyamba muyenera kumvetsetsa zomwe zinayambitsa izi. Pambuyo pake, ndizotheka kumvetsetsa ngati chithandizo chamankhwala chikufunika kapena ngati padzakhale chakudya chokwanira.
Mafuta ndi zotsekemera siziyenera kupatulidwa muzakudya. Shuga akhoza kulowedwa ndi wokoma. Nthawi yomweyo, chakudya chamafuta sichitha kuchotsedwa pachakudya chilichonse, chifukwa ndizofunikira kuti thupi lizigwira ntchito bwino.
Makonda ayenera kuperekedwa kwa chakudya pang'onopang'ono, m'malo mwachangu: onjezerani masamba, nyemba, zipatso zolimba, chinangwa ndi buledi wazakudya.
Sungani mchere wanu pang'ono. Pewani nyama zam'chitini ndi kusuta nyama. Mowa uyenera kutayidwa.Imwani zakumwa zambiri, mumakonda madzi, tiyi wobiriwira, ndi msuzi wa rosehip.
Ngati dokotala wakupangirani mankhwala, ndiye kuti kugwiritsidwa ntchito kwake sikungakhale kopanda tanthauzo ngati simukuyambiranso moyo wanu.
Chithandizo ndi moyo
Monga tafotokozera pamwambapa, atazindikira chomwe chimayambitsa kuchuluka kwa mahomoni m'magazi, dokotala amakupatsirani chithandizo china. Awa amatha kukhala mankhwala omwe amachepetsa kugwira ntchito mthupi. Koma kuti muthandizire bwino, muyenera kusintha moyo wanu.
Tsatirani zakudya zapadera zomwe sizimaphatikizapo maswiti ndi shuga. Chitani chidwi ndi mafuta ochulukirapo. Zinthu zamkaka ndizotheka, koma azikhala ndi mafuta ochepa.
M'malo mpunga woyera ndi zofiirira. Sankhani mitundu ya nsomba, mafuta amkaka ndi nkhuku. Mazira a nkhuku ndi otheka, koma osapitilira mazira awiri patsiku katatu pa sabata.
Timalimbikitsanso kuti muzidziwitsa bwino momwe mungasungire zakudya zamlungu ndi mlungu.
Ndikofunikanso kukumbukira mapindu ake olimbitsa thupi. Yesetsani kuyenda pafupipafupi, kuyenda. Chitani zolimbitsa thupi tsiku lililonse kapena tsiku lililonse.
Mlingo wa insulin m'magazi
Kwa azimayi ogonana amuna ndi amuna omwe ali mgulu la 3-25 mkU / ml. Ngati mahomoni ali pansipa - chizindikiro chogwira ntchito mopitirira muyeso.
Kwa mwana, kuchuluka kwa insulin 20 ndiye chizolowezi. Kwa anthu achikulire, kuchuluka kwambiri kwa insulini ndi 34. Mitengo yambiri ya mahomoni omwe ali ndi shuga wabwinobwino mwa azimayi imachitika nthawi yapakati.
Mlingo uliwonse wamafuta m'magazi omwe ali ndi shuga wabwinobwino amakhala ngati chifukwa chokwanira cholozera dokotala. Kuchulukitsa kwa insulin m'mwazi kumatanthauza kuti thupi limayamba kudwala matenda ashuga.
Kodi chifukwa chiyani insulin imachuluka (hyperinsulemia)
Kubwereza mobwerezabwereza kwa zakudya zodzaza ndi chakudya kumapangitsa kuti insulini iwonjezeke.
Zomwe zimayambitsa kuchuluka kwa homon ndi:
- kuperewera kwa zakudya m'thupi
- masewera osakwanira,
- kumwa mankhwala ena ake
- nkhawa.
Omwe amagwiritsidwa ntchito kudya maswiti ambiri, insulin ndiwambiri kuposa zabwinobwino. Komanso kuchuluka kwa mahomoni m'magazi ndimakhalidwe kwa azimayi, chifukwa nthawi zambiri amakhala ndi nkhawa komanso kukondwa kwambiri.
Kunenepa kwambiri mwa amuna ndi akazi kumalumikizidwa ndi kuchuluka kwa insulin. Kukula kwa matenda opatsirana kumathandizira kupanga mahomoni.
Kuzindikira kwa shuga - ingomwani tsiku lililonse.
Insulin yokwanira mwa mwana imachitika ndi mahomoni ambiri okula.
Zizindikiro za kuchuluka kwambiri kwa insulin
Mwa anthu onenepa kwambiri, matenda amtundu wa 2 amadziwika kwambiri.
Zizindikiro zimachitika pakatuluka insulin m'magazi:
- kusabala
- thukuta lolemera
- kupuma movutikira
- kupweteka kwa minofu, kukokana,
- kuyabwa kwa pakhungu, kuchiritsa kwanthawi yayitali.
Kumverera kosalekeza kwa njala ndi chifukwa chomwe insulin imakwezedwa.
Zizindikiro zofotokozedwa za mahomoni owonjezereka zimawerengedwa ngati matenda ena, koma pambuyo poyesa zowonjezera mutha kuzindikira vutoli pakapita nthawi ndikupanga matenda.
Kwa akazi, zizindikiro za kuchuluka kwa insulin m'magazi zimayambitsa nkhawa, chifukwa mwa iwo matenda amapezeka nthawi yoyamba.
Zomwe zimayambitsa kuchuluka kwa insulin
Kuonjezera insulin kumathandizira kupanga mafuta.
Mulingo wambiri wa mahomoni m'thupi ndi:
- kuchepa kwa shuga m'magazi,
- chiwopsezo cha chotupa chaching'ono chomwe chimayamba kupezeka ma khansa,
- kusabala, kusayenda bwino kwamanjenje, kupsa mtima,
- kuwonongeka kwa boma la capillaries, ziwalo zamawonedwe, kuwonongeka kwa impso, kukulitsa kwa atherosulinosis,
- Kuchepetsa machiritso a mabala, kukula kwa phazi la matenda ashuga,
- kuchepa kwa mafupa
- mapangidwe seborrhea, ziphuphu zakumaso, khungu mafuta.
Nthawi zambiri matenda oopsa amawonjezeredwa ndi zizindikiro za insulin yayikulu, yomwe imasokoneza thanzi la stroke, kugunda kwa mtima.
Mwana akachulukitsa insulini m'magazi pamlingo wambiri wa shuga, ndiye kuti uku ndi kuyitanidwa pokhudza matenda a chifuwa.
Timapereka kuchotsera kwa owerenga tsamba lathu!
Momwe mungayesere magazi a insulin
Insulin yayikulu imawononga thanzi. Kuti muwone mkhalidwe wa kapamba, ndikofunikira kuyesedwa.
Pofufuza tengani:
- kuyesa kwa ubale wama glucose
- kusanthula kwa kupezeka kwa kuchuluka kwa mahomoni (kochitidwa pamimba yotsika).
Kutsatira zakudya zomwe zimakhala masiku atatu, zimakupatsani mwayi wowona bwino.
Ngati ayesedwa pamimba yonse, kapamba amatulutsa timadzi tambiri mu kuchuluka kwa mafuta, omwe angapereke cholondola.
Lamuloli silikugwira ntchito kwa ana. Ngakhale pamimba yonse, ma index awo a mahomoni sasintha.
Zoyenera kuchita ngati kudziyimira pawokha kwa insulin yayikulu m'magazi
Insulin yayikulu, yomwe imayambitsa matenda ashuga, imatha kupezeka kunyumba pogwiritsa ntchito glucometer.
Pambuyo pakusamba m'manja, muyenera kutenthetsa chala chanu kuti magazi azithamanga. Pofuna kuchepetsa ululu, jakisoni amapangidwa kumbali ya chala. Dontho loyamba limapukutidwa, ndipo lachiwiri limayikidwa kuti liwonetsedwe poyesa.
Mutha kutenga miyezo 5 patsiku - izi zimakuthandizani kuti mupeze zotsatira zenizeni. Ngati insulin ikwezedwa, ndipo shuga ndi wabwinobwino, ndiye kuti izi ndi chizindikiro cha kukula kwa hyperinsulemia (mkhalidwe womwe umawonetsa kuyambika kwa matenda ashuga).
Therapy ndi matenda a insulin
Musanayambe chithandizo, muyenera kupeza chomwe chimapangitsa kuti insulin iwonjezeke m'magazi. Pambuyo pake, adotolo adapereka chithandizo chofuna kuthetsa zomwe zimayambitsa ndikuchepetsa mahomoni. Insulin yokwezedwa ndi shuga yokwezeka imathandizira kuchepa kwamadzi ndipo imatha kupha.
Sizoletsedwa kumwa mankhwala nokha kuti muthe kukhazikika.
Izi zikuwopseza kuwoneka kwa zovuta zina. Chithandizo cha insulin yowonjezereka m'magazi mwa achikulire zimaphatikizapo kumwa mankhwala omwe amachepetsa chilimbikitso, kukakamiza, ndikuchepetsa mphamvu ya mahomoni.
Zithandizo za anthu
Ndikosatheka kulimbana ndi insulin yodzikiswa m'magazi ndi njira zachikhalidwe zokha, ndizotheka kukhazikika.
Kuti muchite izi, gwiritsani ntchito:
- juisi ya beets, kaloti, sauerkraut, mbatata,
- Buckwheat ndi kefir,
- decoction of bay tsamba.
Mankhwala okwanira insulin amatha kukhala olimba ngati mungagwiritse ntchito pamodzi mankhwala othandizira pamodzi, mankhwala olimbitsa thupi.
Mutha kukhazikika pancreas ngati mutsatira malangizo a dokotala okhudza chakudya. Ngati mumadya zakudya zopatsa thanzi, kuchuluka kwa insulini m'magazi kumatha kuchepetsa kapena kuchepetsa mavuto obwera chifukwa cha matenda.
Chakudyacho chimaphatikizapo mafuta ambiri amkaka otsika kwambiri, chimanga, nyama yotsika, mazira, masamba atsopano kapena owiritsa, timadziti tachilengedwe, komanso zipatso, tili ndi shuga komanso vitamini C wambiri.
Ngati insulin ikwezeka, ndiye kuti ndi bwino kugwiritsa ntchito:
Ndi matenda a shuga a 2, zakudya sizikhala za nthawi yochepa, wodwala wake amawona moyo wake wonse. Ndi mahomoni owonjezereka, amatsatira malamulo a zakudya:
- kudya kangapo m'magawo ang'onoang'ono,
- kupatula mowa
- sinthani shuga ndi zotsekemera,
- chepetsa mchere wambiri,
- osapatula zakudya zamzitini, mapazi othamanga,
- Zakumwa zoledzeretsa zam'madzi, ndikofunikira kuzigawa tsiku ndi tsiku.
Ngati mutsatira zakudya, mutha kuthana ndi mapaundi owonjezera.
Ndi insulin yowonjezereka, ndikofunikira kuchita zolimbitsa thupi. Makalasi amatha kukhala ndi thanzi labwino pamlingo wokhutiritsa kapena kusintha thanzi. Ndi insulin yayikulu kwambiri, adokotala ayenera kuvomereza gulu linalake lazolimbitsa thupi. Koma asanapitilize ndi malingaliro ake, wodwalayo amapatsidwa ECG.
Mukamachita masewera olimbitsa thupi, yang'anani kuthamanga kwa mtima, kuyeza kuthamanga kwa magazi, onani kuchuluka kwa insulini m'magazi. Ndi kuchuluka kwa zowonetsa, muyenera kuwona dokotala.
Thupi lathupi limathandizira thupi, kuphatikiza:
- kulumikizana kwa ma cell ndi mahomoni kumachuluka
- Kusintha kwa magazi, kuthamanga kwa mtima,
- ngozi ya mavuto yachepa,
- kupewa matenda a mtima, sitiroko.
Osamachita masewera olimbitsa thupi kapena m'mimba mokwanira. Asanakhale kalasi, muyenera kugwiritsa ntchito sangweji kapena zingapo. Chepetsani kuchuluka kwa mapiritsi a shuga kapena mlingo wa mahomoni.
Phunziroli limachitika nthawi yomweyo moyang'aniridwa ndi ogwira ntchito zachipatala. Izi zimachitika kuti, ngati ndi kotheka, ndikotheka kusintha nthawi yayitali komanso mitundu ya masewera olimbitsa thupi.
Kupewa ndi malingaliro
Pofuna kupewa mapangidwe ambiri a insulini m'magazi, kupezeka kwa mahomoni kuyenera kukhazikika. Ndi zizindikiro zoyambirira za insulin, ndikofunikira kuyesedwa.
Ndikofunikira kutsatira malamulowo:
- kupitiliza chithandizo ndi endocrinologist,
- zakudya zapadera
- khalani ndi nthawi yopuma
- kusewera masewera.
Ndikofunikira kupatula chilichonse chomwe chimapangitsa insulin m'magazi:
Kukhala ndi moyo woyenera kumathandizira kukhala othandizira pakukula kwa mahomoni, komanso matenda ena.
Kuwonetsera kwa insulin yowonjezereka sikuyenera kuloledwa kuyendayenda, chifukwa uku ndiko kuyitanidwa kwa thupi pankhani yakukula kwa matenda ashuga a mtundu 2. Ngati ndi kotheka, ndikofunikira kumayesedwa panthawi komanso kuchitira chithandizo.
Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.
Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu
Kodi insulin ndi ntchito yanji mthupi la munthu
Insulin ndi mahomoni apachirengedwe omwe amakhudza kagayidwe kazinthu zonse zamthupi ndipo amachepetsa shuga. Insulin imatchedwa protein yeniyeni yomwe imapangidwa m'maselo a beta kuchokera ku proinsulin, kenako imatulutsidwa m'mitsempha yamagazi ndikusunga kuchuluka kwa glucose, ndikuthandizanso pakupanga mafuta.
Chimodzi mwazinthu zazikulu za insulin ndikuti zimawonjezera kupezeka kwa membrane wa plasma ku glucose. Popanda kuchitapo kanthu, kulowa kwa glucose m'maselo ndikosatheka, ndipo izi zimapatsa mphamvu njala yamoyo yonse.
Insulin imathandizanso pa zotsatirazi:
- kukulitsa kapangidwe ka mafuta ndi mapuloteni,
- kusintha kwa njira yolandirira ma amino acid,
- kukhazikitsa kwa kayendedwe kazinthu poyendetsa ma ayoni m'maselo,
- kutsegula kwa michere yofunika ya glycolysis,
- kutembenuka kwa glycogen kuchokera ku glucose kupita ku minofu minofu ndi chiwindi.
Kuchulukitsa kwa insulini m'magazi kumakhudza kuchuluka kwa glucose oxidation, kumapangitsa kuchepa kwa metabolism ndikuwonjezera kuchuluka kwa cholesterol m'thupi.
Mwa ana ndi achinyamata
Mlingo wa insulin mwa ana ndi achinyamata uli ndi kusiyana kwakukulu. Izi ndichifukwa choti mpaka nthawi yakutha, mwana safunikira mphamvu zambiri.
Kuyambira kuyambira zaka 13 mpaka 14, thupi la mwana limayamba kusinthasintha mosiyanasiyana mogwirizana ndi kusintha kwa mahomoni, kuchuluka kwa insulin kumawonjezeka, ndipo, molondola, kuchuluka kwa insulini komwe kumapangidwa kumawonjezeka
Nthawi zonse kwa ana osakwana zaka 13 | Mu achinyamata azaka zopitilira 13 |
2.7-10.4 mcU / ml | 3-25 mcU / ml |
Ntchito ndi Norm
Hulin insulin imalamulira kuchuluka kwa shuga pounika ku maselo ndi minyewa ya thupi:
- Zakudya zomanga thupi zalowa m'matumbo am'mimba ndi chakudya, zigwetsere glucose.
- Mwazi wamagazi umakwera, chomwe ndi chizindikiro kuti amasulidwe.
- Hormayo imamanga monosaccharide ndikuyiyika ku minofu ndi adipose minofu.
- Pazida za minofu, glucose imaphwanyidwa kuti ikhale ndi mphamvu yofunikira yogwira ntchito mthupi, ndipo shuga imadziunjikira minofu ya lipid (mapangidwe a depot).
Komanso, mahomoni amakhudzidwa ndi "kusuntha" kwamafuta, mapuloteni komanso kufufuza zinthu ku maselo, kumapangitsa kuti ma amino acids azikhala bwino, chifukwa chomwe chimapangitsa kuti minofu ikhale yothandiza, imathandizanso pakukonzanso, imathandizira ntchito ya ma enzymes ofunikira pakupanga glycogen.
Muyezo wa insulin mwa akazi pamimba yopanda kanthu (mu μU / ml) ndi 3-29. Mwa ana osakwana zaka 12 - mpaka 20.Pa nthawi ya pakati, insulini yowonjezereka imaloledwa - 6-32. Ziwerengero za okalamba - 6-35. Mkhalidwe womwe insulin ya magazi imakwera kwambiri umatchedwa hyperinsulinism. Itha kukhala yapulayimale komanso yachiwiri, kutengera zomwe zimayambitsa chitukuko cha matenda.
Zizindikiro za mahomoni ochepa m'mwazi
Ngati insulin yotsika kwambiri yapezeka m'magazi a munthu, izi zikutanthauza kuti maselo amthupi amayamba kufa ndi njala osapeza zinthu zomwe amafunikira - glucose. Chifukwa chake, thupi limayamba kutanthauza kuti lifunika kulowa, ndiye kuti, maselo amafuta. Izi zimabweretsa kudzikundikira kwa zinthu zovunda zomwe zimapangitsa kuti thupi lizidwala komanso kuledzera.
Zizindikiro zokhala ndi insulin yokwanira iyi m'magazi:
- kuchuluka kwamadzi osefukira,
- kuchepa kwa ntchito, kutopa kwambiri ndi ulesi,
- kuyabwa pakhungu,
- kukulitsa kukodza pafupipafupi,
- kusinthika kwa minofu
- ngozi ya magazi komanso kuchepa kwa magazi,
- Khanda limakonda kumwa madzi kapena kuyamwa bere la amayi ndikuwonetsa mkodzo wambiri,
- poyesa magazi pali shuga wambiri.
Ana aang'ono ayenera kudya zakudya zamafuta pamlingo wa 10g pa kilogalamu iliyonse. Ichi ndiye chizolowezi. Ngati mumapatsa ana maswiti ambiri, ndiye kuti kaphatikizidwe ka insulin kangasinthe kapamba.
Fomu yoyamba
Dzinalo lachiwiri ndi pancreatic hyperinsulinism, chifukwa zonse zomwe zimapangitsa kuti pakhale chitukuko zimalumikizana ndi kulakwitsa kwa chinsinsi cha kapamba:
- Insulinoma ndi chotupa chomwe chimapanga mahomoni momasuka. Zotsatira zake ndi kuchuluka kwa insulin m'magazi ndi hypoglycemia. Hyperinsulinism nthawi zambiri imayamba pamimba yopanda kanthu. Zizindikiro - kuchuluka kudya, kunenepa kwambiri, kupweteka kwa mutu, kugwedezeka mwamphamvu, kusokonezeka kwa mitsempha.
- Kuchepetsa kwa glucagon - njirayi imachepetsa glycogenolysis ndikuchepetsa shuga la magazi. Chifukwa chake, insulin imakwezedwa.
- Type 2 shuga mellitus - maselo a thupi samayankhanso mahomoni, kutaya chidwi chake. Thupi limazindikira izi ngati kuti mahomoni ali osakwanira, ndipo limalipira boma mwakuwonjezera kapangidwe kake.
Fomu yachiwiri
Kuchulukitsa kwa insulin m'magazi chifukwa cha extrapancreatic pathologies kumachitika motsutsana ndi maziko a zinthu zotsatirazi:
- mutachotsa mbali yam'mimba,
- kusala kudya kwanthawi yayitali
- zovuta zamitsempha
- kutsegula m'mimba
- malungo
- matenda a chiwindi
- kubadwa kwa metabolic michere,
- zotupa ndi ma adrenal gland.
Hyperinsulinism imatha kukhazikitsidwa motsutsana ndi maziko a kuchuluka kwa mankhwalawa panthawi ya mankhwala ndi kukonzekera kwa insulin, othandizira a hypoglycemic. Insulin yomwe idakwezedwa pakuwunika imatha kuchitika chifukwa cha kusokonezeka kwa pharmacological ndi mankhwala ena.
Hyperinsulinism yokhala ndi shuga wabwinobwino
Miyezi yambiri ya insulini yokhala ndi shuga wabwinobwino imapezeka mu matenda a Cushing. Zizindikiro zotsatirazi zingachitike: Kuchuluka kwa insulini kumachulukanso, ndipo glucose amakhalanso wabwinobwino.
Cholinga china ndi acromegaly. Zizindikiro za matendawa zimawonetsedwa ndi kuwonjezereka kwa ziwalo zina za thupi (mphuno, milomo, nsagwada, manja, mapazi).
Chithunzi cha kuchipatala
Hypoglycemia ndiye chizindikiro chachikulu chakuti insulini imakwezedwa - amatanthauza chiyani? Hypoglycemia imatchedwa shuga wamagazi ochepa. Zizindikiro za izi zimadalira nthawi yomwe chitukuko cha matenda. Mawonekedwe ofatsa amaphatikizidwa ndi kuwonjezeka kwa chikhumbo, kumverera kwanjala ndi chakudya chokwanira mthupi. M'mawa pali kufooka, kuchepa kwa ntchito.
Insulin yapamwamba imawonetsedwa ndi mutu, chizungulire, thukuta lalikulu.Odwala amadandaula ndi miyendo yomwe imanjenjemera, kugwidwa, kugunda kwamtima kofulumira. Zilonda zam'mimba zimawonekera, kufupika kwakukulu (ngakhale popanda kuchita zolimbitsa thupi). M'magazi a capillary, kuwerengera kwa glucose kumakhala pansi pa 2,5 mmol / L.
Zokhudza kuchepa kwa mahomoni
Insulin yochepetsedwa imawonedwa mu mtundu woyamba wa matenda a shuga, matenda a matenda opatsirana, kupsinjika, kulimbitsa thupi kwakukulu. Kuperewera kwa insulin kaphatikizidwe kumayambitsa kukula kwa hyperglycemia (shuga yayikulu magazi).
Zizindikiro za insulin yotsika magazi:
- ludzu
- kuchuluka kwamkodzo,
- ziume zowuma,
- Khungu
- pafupipafupi.
Zizindikiro
Chiyeso cha insulin ndi kuyesa kwa magazi a venous omwe amakupatsani mwayi kuti muwone insulin yotsika kapena milingo yake yokwezeka. Kuzindikira kumachitika pamimba yopanda kanthu. Maola 24 asanatengedwe, zakumwa ziyenera kusiyidwa, ndipo ola limodzi musanayambe kusuta. Mutha kumwa madzi okha.
Decoding of Zizindikiro ndi prerogative wa amapezeka endocrinologist. Mayankho akuwonetsa kuchuluka kwa mahomoni m'magawo otsatirawa: μU / ml, pmol / l, uchi / l. Kuyambiranso:
- μU / ml = uchi / l
- pmol / L x 0.138 μU / ml = MDU / L.
Kuyesedwa kwa magazi kwa insulini kungakhale gawo la kuyeserera kwa glucose. Panthawi ya matendawa, mahomoni amatsimikiziridwa musanadye komanso pambuyo pa "glucose katundu".
Mfundo zoyendetsera
Mutha kutsitsa kuchuluka kwa mahomoni mwakuchepetsa kuchuluka kwa zakudya. Kamodzi pa sabata ayenera kukonza tsiku losala kudya. Mlingo wa zinthu zomwe zimagwira ntchito mu nthawi imeneyi zimabweranso malire.
Pali mtundu womwe umatchedwa insulin index wa zinthu, womwe uyenera kukumbukiridwa mukamapanga zomwe mukufuna. Chizindikirochi chikuwonetsa kuchuluka kwa mahomoni omwe thupi lifunikira kuti mubwezeretse shuga ku nthawi yayitali mutatha kudya chinthu china.
Ndikofunikira kusintha zolimbitsa thupi. Katundu wokwanira amatha kutsitsa insulin, kubwezeretsa chidwi cha maselo ndi minyewa pakuchitapo kanthu. Kuphatikiza apo, muyenera kusintha zakudya: kuchepetsa zakudya zopatsa mphamvu komanso kuwonjezera zakudya zomwe zimakhala ndi CHIKWANGWANI.
Momwe mungakulitsire kuchuluka kwamahomoni
Ndi kusowa kwa insulin, mankhwala a insulin ndi omwe amapatsidwa. Mankhwala okhala ndi mahomoni ofanana ndi omwe amaphatikizidwa ndi kapamba. Hyperglycemia akusowa kungathandize kuchepetsa:
Mankhwalawa amachepetsa shuga komanso amabweretsa insulin yokhazikika ya anthu. Ndikofunikira kutsatira zakudya zamafuta ochepa, poganizira mawonekedwe amtundu wa glycemic. Komanso, akatswiri amalangiza kuti azichita zolimbitsa thupi pamlingo wokwanira ndikuwunikira pafupipafupi ma shuga a magazi, kuwasunga m'njira yoyenera.
Kufunika ndi zikhalidwe za insulin
Njira zonse zikuchitika mthupi la munthu mwanjira ina "zomangika" ku insulin. Popanda mahomoni awa, opangidwa ndi kapamba, michere yomwe imalowa mthupi kudzera mu chakudya silingathe kusweka. Pakakhala vuto mu kapamba kapena mavuto ena, kagayidwe kazakudya kamasokonekera, komwe kamakhudza thanzi kwambiri.
Mwa munthu wathanzi, kuchuluka kwa insulin nthawi zambiri kumayambira magawo atatu mpaka 25, mwa ana malekezero ake amakhala otsika pang'ono - 20 mayunitsi. Mwa anthu achikulire, malire apamwamba sakhala apamwamba kuposa magawo 35, zizindikiro zoterezi zimatha kukhala zaka 60 zitatha. Zonsezi ndizofanana. Ndipo chilichonse chomwe chimakhala chokwezeka kuposa zizindikiro zodziwika bwino ndi nthawi yolandira chithandizo chamankhwala mwachangu, popeza kuchuluka kwa insulini yamagazi ndi belu lochititsa mantha lomwe likuwonetsa kuti ntchito yolumikizana yonse ya machitidwe a ziwalo zonse za anthu ndi ziwalo sizinayende bwino bwino.
Choyipa kwambiri ndiyenera kukhala ndi kuchuluka kwa insulini ndi shuga wabwinobwino.Mwa njira, madokotala amalimbikitsa mwamphamvu kuti azikhala ndi glucometer kunyumba, yomwe nthawi zonse mumatha kuyesa kuchuluka kwa shuga ndi insulin popanda kupita kuchipatala.
Chithunzi chofunikira kwambiri cha shuga m'magazi chimatha kupezeka mwa kuyeza mulingo uliwonse maola 2-2,5, koma mwanjira yoti muyeso wokwanira osachepera asanu patsiku. Koma si aliyense amene ali ndi mwayi wotere, kotero ndikofunika kuyang'ana magazi anu ngati muli ndi shuga, makamaka mutangodzuka, m'mawa, komanso musanagone.
Zizindikiro
Kuwonjezeka kwakukulu kwamankhwala a insulin amatchedwa hypoglycemia. Zizindikiro za matenda amtunduwu:
- kukhumudwa
- kukhumudwa
- kukumbukira kwakasokonekera ndi mphamvu yosungira,
- kuyang'ana chidwi ndikovuta kwambiri.
Ndi hypoglycemia yomwe ikupita patsogolo, zizindikiro zazikulu zimayamba msanga:
- kutopa kwambiri
- kupeza kunenepa kwambiri.
Kuphatikiza apo, kuchuluka kwambiri kwa insulini kumakhudza mwachindunji magawo amitsempha yamagazi, ndikupangitsa kuti pakhale matenda oopsa, ndipo ngati simupereka chidwi ndi izi, ndiye kuti osalowerera pamalowo kungayambitse zovuta zina zoyenda m'magazi momwe munthu angafikire:
- chisokonezo cha kugona tulo,
- kuchuluka kwa sebum,
- kulephera kwa aimpso
- zigawenga za m'munsi.
Amayi nthawi zambiri amatha kuwona kusintha kumeneku, pomwe amayamba kuda nkhawa ndikusintha komwe kumachitika nawo: choyambirira, cholemera kwambiri, chomwe pazaka zilizonse zimadziwika kuti ndizosafunika, ndipo chachiwiri, khungu lamafuta ambiri. Chochitika chomalizachi chimasintha mawonekedwe: khungu silimangokhala ndi ubweya wamafuta, koma ziphuphu zingapo zimawonekera, ndipo tsitsi limayamba "kunenepa".
Tidzasungitsa kuyambira pachiyambi pomwe: nthawi zonse, nthawi zina zilizonse, insulin yayikulu sichachilendo. Koma ndi dokotala wokhawo woyenera yemwe angakwanitse, ali ndi mwayi wambiri, kudziwa njira yomwe ingakambitsiridwe, komanso momwe ingaperekedwere komanso.
Kutengera zomwe zimayambitsa izi, titha kukambirana:
- hyperinsulinism yoyamba
- hyperinsulinism yachiwiri.
Hyperinsulinism yapamwamba ndi kuchuluka kwa insulini wokhala ndi shuga wochepa m'magazi, ndiye kuti, uwu ndi mtundu woyamba wa chitukuko cha matenda. Hyperinsulinism yotere imadziwikanso kuti pancreatic, pomwe imayamba kutsutsana ndi kuyambika kwa kuphwanya kupanga kwa antagonist a insulin, omwe amatchedwa glucagon (glucosagon hyposecretion). Ma hormone onse awiriwa amapangidwa mu kapamba, m'matawuni otchedwa Langerhans. Vuto lakusokonekera pakupanga glucagon, insulin yochulukirapo imapezeka m'thupi.
Kutalika kapena kuchuluka kwa insulini m'magazi omwe ali ndi shuga mwambiri kungasonyeze zovuta zotsatirazi:
- kupezeka kwa neoplasms (zotupa kapena zotupa) m'thupi la kapamba,
- kuchepa kwa shuga.
Hyperinsulinism yachiwiri ndikuwonjezeranso kwa insulin pamlingo wamba wa shuga. Ndi mtundu uwu wa hyperinsulinism, kugwira ntchito kwamkati kwamanjenje kumasokonezeka, kuphatikiza apo, kupanga kochulukira kumawonedwa:
- adenocorticotropic timadzi (corticotropin),
- kukula kwa mahomoni, kapena mahomoni okula (ma hormone onsewo amapangidwa ndi pituitary gland),
- mahomoni opangidwa ndi adrenal cortex (glucocorticoids).
Zomwe zimayambitsa izi zimatha kukhala zingapo, zakunja ndi zamkati, zomwe:
- chiwindi kulephera kapena chiwindi ntchito.
- kuphwanya zakudya
- kusintha kwa zinthu mu mbali yakunja ya ubongo,
- kumachitika zotupa m'mimba,
- Kukula mu adrenal gland ya zilonda zamkati.
Zoyenera kuchita
Choyamba, kuti mupeze chithandizo choyenera, muyenera kudziwa chomwe chimayambitsa matendawa.Popanda kumveketsa chomwe chimayambitsa, chithandizo sichitha kuyamba, chifukwa sichingagwire ntchito. Chithandizo chodziyimira pawokha, makamaka chachitali. (Kumwa mankhwala a antihypertensive kuti muchepetse kuthamanga kwa magazi, ma analgesics a mutu, ndi zina), "imatha kununkhira" chithunzi chachipatala ndikuchepetsa kuyendera dokotala. Ndipo zoterezi zikachitika, musachedwa kutembenuka, ndiye kuti zikuwoneka bwino.
Dziwani zomwe zimayambitsa hyperinsulinism zimatha kungowunikira kwathunthu komanso kwathunthu. Koma nthawi zambiri odwala amagonekedwa m'chipatala ndi hyperinsulinism mu mawonekedwe owopsa, pomwe wodwalayo amafunika kulandira jakisoni kuti achulukitse glucagon ndi adrenaline. Koma ngakhale munthu atagonekedwa m'chipatala matenda asanafike poipa, nthawi zambiri simungathe kuchita popanda dontho la shuga, popeza insulin yayitali posachedwa imayambitsa kutsika kwa shuga m'magazi, chodabwitsa ichi chimatchedwa hypoglycemia. Zizindikiro za izi:
- thukuta kwambiri
- tachycardia
- kutopa ndi kufooka,
- kukopa kwa pakhungu.
Potere, wodwalayo amakhala akumva njala. Ndi kuchepa kwambiri kwa shuga, kuchepa kwa chikumbumtima ndikotheka, ngati shuga sikubwezeretsedwanso - kuperewera kwa hypoglycemic.
Funso limakonda kumuka: kodi ndizotheka kuchepetsa kuchuluka kwa insulini kunyumba?
Inde, inde. Koma kuchepa kwamankhwala a insulin kunyumba sikukutanthauza njira zodzichitira nokha osatembenukira kwa akatswiri. Mutha kuthandiziridwa ku hyperinsulinism osati kuchipatala, koma kunyumba, pokhapokha ngati dokotala yemwe wamuchezerayo atamuuza kwathunthu ndikumufotokozera zamankhwala omwe amupatsirayo ndikumupatsa mankhwala onse ofunikira. Koma popeza momwe mankhwalawo amalembedwera kwathunthu, mndandanda wazithandizo ungaphatikizepo omwe amafunikira kukaonana ndi azachipatala: mwachitsanzo, popereka mankhwala olimbitsa thupi kapena othandizira mankhwalawa, acupuncture, acupuncture, ndi zina zambiri. Sikuti wodwala aliyense amatha kuyika otsikira kunyumba, chifukwa chake, sizingatheke kuti ena azinyalanyaza kapena azachipatala.
Ngati tikulankhula za chithandizo chanyumba, ndiye kuti madokotala akutsindika: chinthu chachikulu ndicho kudziletsa. Ndipo izi sizikugwira ntchito pokha pokha pazowunika zisanu zamagawo a insulin, komanso pazinthu zina. Nthawi zina kuti mukhale ndi thanzi, ndikofunikira kuti musunthire "pakhosi panu" ndi "zokhumba zanu (koma moona mtima mumazitcha kufooka kwaumunthu). Ndikosavuta kudzikakamiza kuti muchite zomwe simunachite, ndikupereka zomwe mukufuna. Koma ndizofanana ndi izi kuti mfundo ziwiri zamankhwala kunyumba zimatsika:
- zolimbitsa thupi
- zakudya zopewera.
Palibe chifukwa chake kulemera kwa thupi kuyenera. Kuti muchite izi, muyenera kutsatira zakudya, zomwe zimakhala zovuta kwambiri. Ngati munthu samadziona kuti ali ndi mphamvu zambiri pa iye, ndibwino ngati wina ku banja lake aziyang'anira kadyedwe kake.
Zakudya zokhala ndi insulin yochulukirapo ziyenera kukhazikika pazakudya zopatsa chidwi - wodwalayo ayenera kudya kangapo patsiku, pomwe magawo azakudya ayenera kukhala ochepa. Zakudya zomanga thupi zimafunika kuchepetsedwa mpaka 150 g patsiku. Ngati munthu akukumana ndi vuto loletsa zakudya zina, ayenera kulabadira umboni wa kuyesedwa kwa magazi: monga kuyikidwa kwa dokotala kuchitidwa mwaluso, kuyezetsa kwa insulini m'magazi kumayambiranso. Ndipo wodwalayo akaona ndi maso ake kuti akuchira, izi zimakhudza kwambiri mkhalidwe wake.
Koma kupatula mphindi zamaganizidwe, pakhala kusintha kwakukulu pamalingaliro. Koma mulimonsemo, muyenera kupita kukaonana ndi dotolo pafupipafupi kuti mumupime mayeso kangapo pachaka.
Kuphatikiza apo, muyenera kupitiriza kutsatira zakudya ndikuyesera kukhala ndi moyo wathanzi. Kodi zikuphatikizidwa ndi chiyani pamenepa? Mndandandawu siwamkulu:
- samalira mafuta, osadya mopitirira muyeso,
- Chitani zolimbitsa thupi m'mawa
- musanagone, ingoyendani pang'ono pang'ono pang'ono pang'ono.
- yesetsani kusiya zizolowezi zoipa (kusuta, mowa).
Popeza mwazindikira matendawa munthawi yake ndikuthana nawo, ndikofunikira kuti musaberekenso.
Ntchito za insulin ya mahomoni
Insulin imagwira ntchito zingapo m'thupi, koma ntchito yake yayikulu ndikusunga shuga m'magazi. Izi zikutanthauza kuti zimalepheretsa kukula kwa matenda ashuga. Kuphatikiza apo, timadzi timeneti timathandiza kumanga minofu. Izi ndichifukwa choti imayendetsa kagayidwe kazakudya zama protein, kuletsa chakudya kulowa m'thupi kuti chisaikidwe mu mafuta. Insulin imakulitsa mphamvu ya thupi, imapereka maselo osati shuga, komanso ma amino acid, komanso potaziyamu.
Kuyesedwa kwa insulin kuyenera kutengedwa kuti mupeze matenda ashuga. Izi zimalola kulandira chithandizo munthawi yake. Mukazindikira matendawa, kuyezetsa magazi kwa insulin kuyenera kumwedwa nthawi zonse. Izi ndizomwe zimathandizira pogwiritsira ntchito mankhwalawa. Njirayi ikuthandizira kudziwa osati matendawa, komanso mtundu wake.
Kuphatikiza apo, kuwunika kwa zomwe zili ndi insulin zikuwonetsa ma pathologies ena angapo. Muyenera kuigwiritsa ntchito mukamayeseza thupi, komanso mukazindikira zizindikiro izi:
- kudumphadumpha molemera, mokweza pansi popanda chifukwa chodziwikiratu (kusintha kachitidwe ka zakudya, zowonjezera zolimbitsa thupi)
- kugona, kufooka, kuchepa mphamvu zolimbitsa thupi,
- kuchiritsa pang'onopang'ono kwa epidermis povulala.
Kusanthula kwa insulin m'mwazi kumachitika m'njira ziwiri.
- Loyamba ndi pamene wodwala amatenga magazi kuti aunike. Imachitika m'mawa pamimba yopanda kanthu.
- Njira yachiwiri yofufuzira ndikuti wodwalayo amapatsidwa shuga 75 ml, pambuyo pake amatenga magazi kuti aunikidwe. Zotsatira zodalirika, ndikwabwino kuchita njira zonse ziwiri.
Kuti mupambane mayeso muyenera kukonzekera. Kuti izi zitheke, pamafunika kuti 24 asiye kudya zakudya zamafuta, osalola kuchita masewera olimbitsa thupi komanso kupewa kusuta fodya komanso kumwa mowa. Kusanthula kumachitika pamimba yopanda kanthu.
Insulin yokwera
Magazi a insulin atha kukwera pazifukwa zotsatirazi:
- Matenda a shuga a gulu lachiwiri.
- Zakudya zopanda pake. Poterepa, tikulankhula za kumwa kwambiri maswiti ndi chakudya chamafuta. Kusala kudya kumatha kuyambitsa insulin yambiri. Ichi ndichifukwa chake akatswiri amalimbikitsa kuti mudye zakudya zisanu patsiku - izi ndizakudya zitatu komanso zakudya ziwiri.
- Kuchita masewera olimbitsa thupi pafupipafupi.
- Zovuta zapafupipafupi.
- Kunenepa kwambiri Kulemera kwambiri kumapangitsa kuti mafuta azikhala pang'onopang'ono komanso kuchepa kwa mphamvu. Ndi chifukwa cha izi kuti insulin imakwera.
- Vitamini E ndi kuchepa kwa chromium.
Kuonjezera insulin nthawi yomweyo kumamveka. Izi zikuwonetsedwa motere (Zizindikiro ndizomwe zimachitika kwa amuna ndi akazi):
- Kumva njala mosalekeza. Sichisiya ngakhale mutadya kwambiri. Itha kuthamangitsanso munthu maola 24 patsiku.
- Kutopa ngakhale mutapuma kwa nthawi yayitali.
- Kukhalapo kwa kupumira kwapafupipafupi, komwe kumawoneka ngakhale ndi kulimbitsa thupi pang'ono.
- Minyewa yokhazikika.
- Kumachitika kwa kulanda.
- Kuyenda pa khungu.
- Kuchepetsa bala.
Ngati zizindikirozi zikuchitika, pitani kuchipatala msanga. Ndi katswiri yemwe amathandizira kuchepetsa mahomoni kukhala abwinobwino.
Mkulu insulin ndi shuga wabwinobwino
Izi zimachitika kuti mayesowo adawonetsa kuchuluka kwa insulini m'magazi, koma shuga pankhaniyi ndi omwe amavomerezeka. Izi zitha kuwonetsa matenda monga a Itsenko-Cushing's syndrome, pomwe kupanga mahomoni ndi ma adrenal gland amalephera, chifukwa chomwe ma pathologies amawonedwa m'thupi.
Komanso, insulin yayikulu yokhala ndi shuga yochepa imatha kuwonetsa acromegaly - uku ndikuphwanya kwa pituitary gland, momwe mumakhala kuchuluka kwamafupa ndi chigaza, makamaka gawo lakutsogolo. Matendawa ndi osowa kwambiri, koma nkhani za kukula kwake zalembedwa. Tumors, matenda opatsirana, komanso matenda a chiwindi amathanso kuchitika ndi insulin yayikulu komanso shuga yochepa.
Momwe mungachepetse insulin yokwera
Musanaganize zochepetsera insulin, ndikofunikira kuzindikira chomwe chinayambitsa izi. Pokhapokha motengera, dokotala amakupangira chithandizo. Monga lamulo, awa ndi mankhwala, zakudya zapadera ndi masewera olimbitsa thupi.
Kuphatikiza apo, ndikofunikira kusiya kugwiritsa ntchito mchere kapena kuchepetsa kumwa pang'ono. Kuphatikiza apo, choletsa chimakhazikitsidwa pazakudya zomwe zimakhala ndi sodium yambiri. Izi ndi zopangira, mtedza wamchere, soseji, makina ozizira komanso zinthu zam'chitini. Simungamwe mowa ndi insulin yayikulu. Poterepa, muyenera kudzipatsa nokha madzi okwanira. Mlingo woyenera patsiku ndi 2, -25 malita. Zakudya zomwe zimakhala ndi insulini yowonjezereka zimakuthandizani kuti muzidya masamba atsopano, zipatso ndi zipatso, komanso mazira, nyama yopanda mafuta komanso nsomba zamafuta ochepa.
Mutha kuchepetsanso insulin pogwiritsa ntchito wowerengeka azitsamba. Kugwiritsa ntchito pamenepa, ma stigmas a chimanga, ophika m'njira inayake. Kuti muchite izi, 100 g ya zopangira muyenera kutsanulira 100 ml ya madzi otentha. Komanso, malonda amalimbikitsidwa kuwira ndikuyimirira kwa maola angapo akuwotha. Chifukwa msuzi tikulimbikitsidwa kugwiritsa ntchito 0,5 chikho katatu patsiku.
Wotsika insulin
- matenda ashuga
- kuperewera kwa zakudya m'thupi
- kudya shuga wambiri ndi ufa woyera,
- matenda oyambitsidwa ndi matenda komanso matenda opatsirana,
- zolimbitsa thupi zolakwika kapena kusowa kwake
- zopsinjika pafupipafupi.
Insulin yotsika imawonetsedwa motere (mwa amuna ndi akazi):
- kukodza pafupipafupi, makamaka usiku,
- ludzu losatha chifukwa cha kutayika kwa mkodzo wambiri.
Momwe mungakulitsire insulin
Mitengo ya insulin yochepetsetsa iyenera kukulitsidwa kuti ikhale yovomerezeka, apo ayi padzakhala zovuta za shuga wamagazi. Izi zitha kuchitika pomwa mankhwala, zakudya zapadera komanso kuchita masewera olimbitsa thupi. Ndi dokotala yekhayo amene angakupatseni mankhwala.
Zakudya zokhala ndi insulin yotsika zimaphatikizapo kukana shuga, uchi, semolina, mpunga, mbatata. Zakudya za tsiku ndi tsiku ziyenera kukhala ndi nyama yopendekera, kefir, parsley, mabulosi abulu, maapulo ndi kabichi. Potere, chakudya chimayenera kudyedwa nthawi zambiri m'magawo ang'onoang'ono.
Mutha kutsitsanso insulin mothandizidwa ndi zakudya zapadera zowonjezera zakudya - iyi ndi biocin ndi biocalcium. Amasintha kagayidwe kachakudya ka thupi ndikuthandizira kuyamwa bwino kwa shuga.
Zithandizo za Folk zingathandizenso kuwonjezera insulin. Ma infusions ndi decoctions a blueberries azitha kuthana ndi vutoli mwachangu.
Mlingo wa insulini m'magazi uyenera kukhala wokhazikika nthawi zonse. Izi zikuthandizani kupewa matenda ashuga komanso mavuto ena angapo azaumoyo.
About insulin
Chifukwa chake, insulin ndi amodzi mwa mahomoni amenewo omwe amayang'anira kuwongolera njira zonse mthupi la munthu aliyense. Komanso, ndi amene "amachititsa" kagayidwe kazakudya zamapuloteni ndi mafuta - monga zikuwonekera ndi magazi glucose mita imodzi kukhudza. Komabe, ntchito yake yayikulu ndikusunga shuga wamwazi pamalo oyenera. Izi, zimapereka mphamvu yokwanira posinthana mwazotheka.
Mulingo woyenera kwambiri wa insulin mwa munthu wokhala ndi thanzi labwinobwino ndi:
- mwa ana - kuyambira 3.0 mpaka 20,0 μU pa ml,
- Akuluakulu - kuyambira 3.0 mpaka 25.0 μU pa ml (otsimikiza bwino kugwiritsa ntchito glucometer bionime),
- mwa anthu achikulire kuposa zaka 60 - kuyambira 6.0 mpaka 35.0 mcU pa ml.Zizindikiro zonse zomwe zaperekedwa zikuwonetsa zodziwika.
Mofananamo, zomwe zikuwonetsa zikupezeka zambiri kapena zochepa, ndikofunikira kukaonana ndi katswiri kuti mupeze zomwe zimayambitsa izi. Makamaka, ngati zikuwoneka kuti insulini yowonjezereka, koma shuga, monga momwe mayesowa akuwonetsera, ndizabwino, monga zikuwonekeranso Accu Chek.
Zomwe zimawopseza kuchuluka kwa insulin
Kuwonjezeka kwa kuchuluka kwa insulini ya magazi ndizowopsa osati kwa omwe ali ndi matenda a shuga a 2, komanso kwa aliyense wathanzi. Izi zimadzetsa matenda osaneneka a ziwalo zosiyanasiyana zamkati, opuwala ntchito.
Choyamba, kuchuluka kwa insulini m'thupi kumakhudza kukongola kwa makoma amitsempha yamagazi ndi mitsempha. Ndipo izi zikuwopseza kukula kwa matenda oopsa oopsa. Chifukwa chake, ngati mtima wa mtima ukuwonjezeka, chiwopsezo cha matenda osiyanasiyana a mtima chikuchulukirachulukira.
Mitsempha ya carotid imavutikanso, kuphatikiza maselo ake ndi makhoma ake amayamba kutsika ndikukula, ndipo izi zimadzetsa kuwonongeka m'magazi kupita ku ubongo. Mwa odwala okalamba, izi zimawonekera ndikuwonongeka m'maganizo ndi kumveka bwino kwa malingaliro, kuchepa kwa zochitika, ndi zovuta zina zogwira ntchito.
Choyipa chachikulu chomwe kuchuluka kwina kwa insulini kungayambitse ndikupanga matenda a shuga 1. Matendawa amatenga matenda. Kuphatikiza apo, popanda jakisoni wokhazikika wa insulin, wodwalayo sangathenso kuchita popanda tsiku limodzi.
Malangizo: ngati mukukayikira kuti kuchuluka kwa mahomoni ndi shuga m'magazi amachoka pamenepa, ndikofunikira kuti mupange mayeso oyenera posachedwa.
Njira zomwe zimatsatidwa posachedwa ngati zikutsimikizika, ndizotheka kupewa zovuta zazikulu. Zosintha pang'ono sizinganyalanyazidwe, ziyenera kufufuzidwa pakapita nthawi ndikuchitidwa moyenera.
Izi ndi zofunikira kwambiri pochitika kuti kusintha kwamankhwala a insulin ndikofunikira kwambiri, pomwe shuga amakhalabe wokhazikika. Zodabwitsazi ndizowopsa, sizingatheke kuona momwe wodwalayo alili wokhazikika, amafunikira thandizo lakuchipatala.
Pomaliza, titha kunena kuti kuwongolera mulingo wa insulini mthupi ndikofunikira chimodzimodzi monga mulingo wa shuga. Kutengera malamulo onse omwe ali pamwambapa ndi kuwalimbikitsa, ndizotheka kupitiliza kugwira ntchito kwa ziwalo zofunika kwambiri pamlingo wokulirapo komanso kupewa kupangika kwa matenda awo a pathological munthawi yake.
Za kukweza
Mlingo wokwera kwambiri wa mahomoni omwe amaperekedwa m'magazi ukhoza kukhala umboni wowonekeratu wa zovuta zambiri zaumoyo. Choyamba, tikulankhula za matenda ashuga a gulu lachiwiri. Kupatuka komwe kunaperekedwa, komwe shuga amakhala okwera kwambiri kapena amapezeka kawirikawiri, komwe kumakhala kosavuta kugwiritsa ntchito Zoyendera magalimoto.
Komanso, chiwonetserochi chimatha kunena za matenda osokoneza bongo monga matenda a Cushing. Zosowa kokwanira, komabe pali mawonekedwe monga acromegaly. Amawonetsedwa mu chiwopsezo chofunikira kwambiri cha kukula kwa mahomoni. Pankhaniyi, shuga wamagazi ndimakhala abwinobwino, koma insulin imachulukitsidwa kwambiri.
Kuphatikiza apo, vuto lomwe limaperekedwa mthupi la munthu ndi umboni wa matenda ena omwe amakhudzana mwachindunji ndi chiwindi. Kuwonetsera uku kuyenera kuonedwa ngati chizindikiro chachikulu cha insulinoma, ndiko kuti, chotupa chomwe chimatulutsa insulin. Ndi chifukwa ichi kuti insulin nthawi zambiri imachulukitsidwa, koma shuga amakhalanso wabwinobwino.
Kuphatikiza apo, ndi shuga omwe waperekedwa, chiopsezo chotchedwa dystrophic myotonia, chomwe ndi matenda a neuromuscular, ndiwokwera kwambiri.
Poganizira chilengedwe komanso kuvuta kwa njirayi, ikhoza kuwonetsa gawo loyambirira la kunenepa kwambiri, komanso kuphwanya kwakukulu kwa gawo lirilonse la maselo ku mahomoni ndi chakudya.
Insulin yowonjezereka imatha kupezeka bwino m'magazi a amayi apakati, omwe amapezeka ngakhale koyambirira kwambiri. Nthawi zambiri, kuwonjezeraku kuyenera kuganiziridwa monga kuyankha kwa munthu ku dziko latsopano malinga ndi chilengedwe.
Ndikofunikanso kuganizira kuti kupatuka kwina kulikonse kwa insulin mwa akazi kupita kumtunda ndi chizindikiro cha matenda monga polycystic ovary. Chofunikira kwambiri ndikuwoneka kwa izi, pomwe mafuta am'mimbamo mwachidziwikire amawonjezeka.
Komabe, ziyenera kudziwidwa kuti matenda aliwonse omwe afotokozedwa pano ndi mtundu wokhazikika womwe ungayimitsidwe ndikuthandizira kwachipatala kwakanthawi komanso koyenera. Mwanjira imeneyi ndi pomwe pokhazikitsa bata ndi insulini ngati chimodzi mwazomwe zikuwonetsedwa chikuwonjezereka. Pankhaniyi, ndikofunikira kuzindikira zomwe kuchepetsa kapena njira zowonongera insulin ndi shuga zinganene.
Mwa amuna achikulire, akazi
Zizindikiro za insulin mwa amuna ndizokhazikika kuposa azimayi, ndipo zimatengera magawo awiri: zaka ndi kulemera.
Wazaka 18-25 wazaka zabwinobwino | 2,7-10,4 |
18-25 wazaka wonenepa | 3-24,9 |
25-50 wazaka zakubadwa molemera | 3-25 |
zaka zopitilira 50 | 6-35 |
Mlingo wa insulin ya mkaziyo umakhudzidwanso ndi msinkhu ndi kulemera, koma kubereka ndi pakamwa ndi mahomoni ndizinthu zowonjezera.
azimayi wazaka 25-50 | 3-25 |
azimayi opitirira 50 | 6-35 |
nthawi yapakati | 6-27 |
Potsitsa mtengo
Chisamaliro makamaka chiyenera kuperekedwanso kuchepa kwakanthawi kapena mwadzidzidzi, chifukwa chitha kukhala umboni wachidziwitso cha zomwe zikuyambira:
- matenda a shuga a gulu loyamba,
- shuga achinyamata
- wodwala matenda ashuga
- hypopituitarism (matenda omwe amagwirizana mwachindunji ndi zosokoneza zamtundu uliwonse pakugwiritsidwa ntchito kwa pituitary gland).
Kuchita masewera olimbitsa thupi kwa nthawi yayitali kumatha kupangitsa kuchepa kwa insulin.
Kuphatikiza apo, kusintha kwa mtundu uliwonse pamlingo womwe insulin iwonetsa ikhoza kukhalanso umboni wa zovuta mu kapamba, chifukwa iwo amawonetsa mwachangu pakupanga kwa mahomoni omwe aperekedwa.
Pankhaniyi, shuga amathanso kuwonjezeka.
Kwa odwala omwewa omwe ali pachiwopsezo choyamba chofufuza matendawa ndikuzindikiritsa mtundu wa matenda ashuga, ndikuwunika kwa insulin ndi mulingo wake zomwe zimapangitsa kuti pakhale njira zabwino komanso zomvekera bwino zamankhwala amtsogolo.
Za kukhala bwino
Ndikofunikanso kudziimira pawokha ngati, pakadali pano, osati shuga komanso insulin. Umboni wodalirika wa izi, inde, kuwonjezera pakupenda, ndizizindikiro zomwe zimatumizidwa ndi thupi. Kusintha kulikonse kwa chiŵerengero cha mahomoni mwachangu kumakhudza kuchuluka kwa shuga m'magazi. Ndili ndi ndime iyi kuti zomverera za yemwe mahomoni ake amapita kupitilira malire anthawi zonse amalumikizidwa.
Umboni wakupatuka kwa insulin kuchokera munthawi zambiri, ndikumverera kwa ludzu, kuyimitsidwa pakhungu pakhungu, kukodza pafupipafupi, komanso kuchuluka kwa kutopa ndi kuperewera. Nthawi ina tikukambirana
Njira ya tumor
Kuchuluka kwa insulini m'magazi, nthawi zina, kumakhala kovutikira ndi mawonekedwe a chotupa mu kapamba - insulinomas. Chotupa chokhala ndi chachilengedwe m'chigawo chilichonse cha chiwalocho chimatha kupanga insulin mosasamala, zomwe zimapangitsa kukula kwambiri m'magazi ake.
Njira zoonjezera insulin timadzi m'magazi a anthu
Kutsitsa kwazomwe zimapangidwa ndi mahomoni m'magazi kumakhala ndi nthawi yayitali yosala kudya. Izi ndizosakhalitsa ndipo zimabwezeretseka ndi zakudya.
Komanso, zovuta za chinthu chogwiridwachi zimatha kuchotsedwa mwa kumwa mankhwala otsekemera ndi insulin.
Pali mankhwala othandizira:
- kusintha chitetezo chokwanira ndi kupukusa mahomoni - mankhwala a Medcivin,
- vasodilator - Livitsin,
- kusinthika kwa cell kapangidwe ka kapamba - Civilin,
- chakudya.
Kubwezeretsa shuga
Glucagon ndi mahomoni opangidwa ndi maselo a pancreatic alpha ndipo amalumikizidwa kwambiri ndi insulin. Komabe, insulini imayang'anira kuchuluka kwa shuga m'magazi mwakuchepetsa, ndipo glucagon amalimbikitsa kutsekeka kwa glycogen ndikulepheretsa kupanga kwake, potero amawonjezera kuchuluka kwa shuga.
Ngakhale zotsutsana ndi mahomoni awiriwa, glucagon amadziwika kuti amalimbikitsa kupanga insulin. Kubwezeretsa kwachinsinsi kwa timadzi tomwe timatulutsa maselo a alpha kumapangitsa kuti pakhale insulin yambiri.
Matenda oyamba a shuga
Pamaso pa matenda a shuga, kuchepa kwa insulin kumawoneka ngati chizindikiro. Koma kuchuluka kwa mahomoni kungakhale chizindikiro cha kukula kwa matendawa.
Mukamachiza matenda a shuga ndi phula tincture, muyenera kufunsa dokotala, chifukwa tincture wa mowa
Chodabwitsachi chimatchedwa "kukana insulini" - pomwe kapamba kokwanira kapena mopitilira muyeso ikaberekanso insulin, koma maselo pazifukwa zina amataya mwayi wawo. Zotsatira zake, kuchuluka kwa okosijeni a glucose amachepetsa, ndipo kuchuluka kwake mthupi kumakulanso.
Zoyambitsa zachiwiri
Ndi yachiwiri hyperinsulinism, kuchuluka kwa insulin m'magazi kumakhudzidwa ndi kuwonongeka kwa mitsempha ndi chiwindi, kupezeka kwa zotupa, ndi zifukwa zina:
- Njala ndi kuphwanya zakudya - motsutsana ndi maziko a ntchito yayitali, kugwiritsa ntchito zakudya zosakwanira zomwe zimabweretsa shuga.
- Mankhwala osokoneza bongo omwe amagwiritsidwa ntchito kuti muchepetse shuga mu shuga
- Kuperewera kwa michere yomwe imakhudzidwa ndi njira zopangira shuga.
Kutulutsa kwam'mimba
Pambuyo pakukonzanso kwam'mimba, kufupikitsika kwa m'mimba kumayang'aniridwa, mogwirizana ndi momwe chakudyacho chomwe chimayamwa chimalowa msanga m'matumbo aang'ono, momwe zimamerera chakudya chambiri. Amayambitsa kukhazikitsa ntchito yogwira kapamba. Ndipo kuchuluka kwa insulin komwe kumapangidwa ndi thupi kukuchulukirachulukira.
Mu machitidwe a neurotic, kuwonjezeka kwamanjenje kwamkati kumachitika, komwe kumayambitsa kukhumudwitsidwa kwa mitsempha ya vagus ndi kukula kwamphamvu kwa maselo achinsinsi. Njirayi imayambitsa kuchuluka kwa insulin.
Kuwonongeka kwa chiwindi
Ndi kuwonongeka kwa chiwindi (hepatitis, zilonda zam'mimba, cirrhosis), kuchuluka kwa glucagon komwe kumapangidwa kumachepetsedwa, komwe kumayenderana kwambiri ndi insulin ndipo kumakhudza kuchuluka kwake m'magazi.
Ma neoplasms omwe amapezeka m'mimba amatha kukhudza kuchuluka kwa insulini yomwe imapangidwa. Kuti muchite kusinthana kwa maselo otupa, kuchuluka kwakukulu kwa glucose ndikofunikira, kusowa kwa zomwe kumapangitsa kuti mahomoni azikula.
Kodi zimatanthawuza chiyani ngati insulini imakwezedwa komanso kuchuluka kwa shuga ndikwabwinobwino?
Insulin yokwera pamlingo wabwinobwino wamagazi, nthawi zambiri, imayamba chifukwa cha zakudya zosayenera komanso zosasangalatsa.
Mukamadya zakudya zochuluka zotsekemera, zamafuta ndi mafuta, kapamba amagwira ntchito mopitilira muyeso, popeza pali kupanga kwina kwa glucose, kukonza kwake komwe kumafunikira insulini yokwanira.Pachifukwa ichi, insulin yambiri imadziunjikira m'magazi kuposa momwe thupi limafunikira, ndipo mulingo wa shuga umakhalabe wosasinthika.
Zomwe zimayambitsa kuchuluka kwa insulini poyambira shuga wabwinobwino ndi:
- gawo loyamba la kunenepa kwambiri,
- zotupa mu chiwindi zomwe zimakhudza kupanga glucagon,
- mtundu II matenda a shuga,
- nthawi yapakati
- minofu dystrophy.
Zizindikiro za insulin yowonjezereka
Kuchuluka kwa insulini m'magazi kumayambitsa masinthidwe ambiri mthupi, zomwe zimakhudza kugwira ntchito kwathunthu kwa ziwalo zina ndi machitidwe ena.
Ngakhale kuwonjezeka pang'ono kwa chisonyezo cha mahomoni kumayambitsa zizindikiritso zingapo:
- kutopa,
- njala yosalekeza
- thukuta kwambiri
- kamwa yowuma ndi ludzu
- kuchiritsa kwa nthawi yayitali
- kusakhazikika
- kulemera kwakukulu
- kukodza pafupipafupi.
Chizindikiro chokhala ndi insulin yowonjezereka ndi hypersecretion ya gace ya sebaceous. Ziphuphu ndi kufiira kumawonekera pakhungu, zimapeza kuwala kwamafuta, kutsekemera ndi seborrhea kumawonekera m'dera la kukula kwa tsitsi.
Zindikirika bwanji?
Kuzindikira kwa insulin yokwera kumaphatikizapo kugwiritsa ntchito maphunziro a labotale ndi othandizira. Kuzindikira kumakhazikitsidwa pakuwonetsedwa kwa chithunzi cha chipatala komanso kukonzekera mbiri ya wodwalayo.
Mayeso a Laborator ndi awa:
- muyezo watsiku ndi tsiku la glucose (mbiri ya glycemic),
- mayeso ogwira ntchito ndi kusala kudya.
Mbiri ya Glycemic - kuwunika kwamphamvu kwa shuga m'magazi. Masana, magazi amatengedwa kuchokera kwa wodwalayo nthawi zopitilira 6-8. Pofufuza, zida zapadera zimagwiritsidwa ntchito - glucometer. Gulu loyamba la magazi limasonkhanitsidwa m'mamawa pamimba yopanda kanthu. Kuphatikiza apo, zoperekazo zimachitika mutatha kudya maola awiri aliwonse, komanso usiku ndi maola atatu.
Pambuyo powunikira tsiku lililonse kuchuluka kwa shuga m'magazi, zotsatira zake zimayerekezeredwa ndi zoyenera. Ngati zonyansa zapezeka, gawo lotsatira la kafukufuku wa labotale limayikidwa - mayeso ogwira ntchito.
Chiyeso chogwira ntchito ndi kusala kudya chimachitika motere: wodwalayo samadya chakudya kwa maola 24, kuyambira kuyambira pakatha chakudya chamadzulo. Pa nthawi yoyesedwa, wodwala amaloledwa kumwa madzi ndi tiyi wopanda shuga.
Poyerekeza ndi momwe munthu amwalira ndi njala usiku, m'mawa amatenga magazi kuti adziwe hypoglycemia ndikubwereza mankhwalawa maola awiri aliwonse. Odwala omwe ali ndi vuto la glycemia amawonetsedwa mkati mwa maola 4 oyambirira atayamba kuphunzira.
Kuyesedwa kwa kapamba kumatanthawuza njira zodziwitsira zothandizira kuti muwonjezere insulin, yomwe ndi:
Momwe mungakonzekerere ndi momwe mungaperekere kuwunikaku
Kukonzekera koyambirira ndikofunikira kuti mukayezetsedwe magazi kuti mudziwe kuchuluka kwa shuga.
Kuti mupeze zitsanzo zapamwamba kwambiri, ndikofunikira kutsatira malingaliro ena:
- Masiku 1-2 mayeso asanafike poyesa, ndibwino kusiya kugwiritsa ntchito zakudya zamafuta ndi maswiti,
- pakati pa chakudya chomaliza ndi nthawi yopereka magazi, pafupifupi maola 8-12 ayenera kudutsa,
- Kwa maola 12 ndizoletsedwa kumwa zakumwa zokoma za kaboni, timadziti, khofi ndi tiyi ndi shuga, timaloledwa kumwa madzi opanda mpweya,
- Ndikulimbikitsidwa kuti musasute fodya masana mpaka nthawi yakupereka magazi,
- ngati mukumwa mankhwala, dziwitsani dokotala za nkhaniyi,
- pamaso pa matenda opatsirana kapena kumverera kovutikira, ndi bwino kuchedwetsa tsiku la kusanthula,
- Madzulo a tsiku la sampuli ya magazi, pewani zochitika zovuta komanso zolimbitsa thupi kwambiri.
Panthawi yoyeserera, manja ayenera kutsukidwa bwino ndi sopo. Sizoletsedwa kugwiritsa ntchito njira zopangira zakumwa zoledzeretsa ndi mankhwala othandizira pakhungu lathu la khungu. Kutolere magazi kumachitika mosamala pamimba yopanda kanthu.
Mankhwala
Kugwiritsa ntchito mankhwala osokoneza bongo ndikulingalira kuti kugwira ntchito kwa kapamba kokwanira komanso kuyang'anira kaphatikizidwe ka insulin.
Mankhwala omwe amagwiritsidwa ntchito kuti achepetse insulin kwambiri amapangidwanso:
- cholesterol yotsika
- kuthamanga kwa magazi,
- kuchepa kwamtima.
Ndi kuwonjezeka kwa insulin motsutsana ndi maziko a shuga omwe adatsitsidwa, njira yokhazikika ya glucose imagwiritsidwa ntchito. M'mitundu yovuta ya hyperinsulinism, glucagon kapena adrenaline amagwiritsidwa ntchito.
Kuwongolera kuchuluka kwa insulin, kuwonjezereka komwe kumachitika chifukwa cha kuyamba kwa matenda ashuga, nthawi zambiri amagwiritsidwa ntchito:
- Siofor - njira mu mawonekedwe a mapiritsi amene amachepetsa kuchuluka kwa shuga m'magazi. Yogwira ntchito ya mankhwala ndi metmorphine. Mankhwalawa amatengedwa ndimapiritsi 1 piritsi 2 pa tsiku. Pambuyo masiku 10-15, ndikotheka kuwonjezera kuchuluka kwa mankhwalawa kwa mapiritsi 3-4 mkati mwa maola 24.
- Glucophage - mankhwala omwe amalimbikitsa kaphatikizidwe ka glycogen ndikuwonjezera mphamvu ya zolandilira ku insulin. Zimathandizira kuchepetsa thupi. Mlingo: 1 piritsi 1 nthawi patsiku chakudya chamadzulo. Kusintha kwa dose kumakhazikitsidwa ndi zotsatira za kuchuluka kwa shuga m'magazi, tsiku lililonse lililonse la 10-15.
Ma calcium inhibitors amagwiritsidwa ntchito kukhazikitsa magazi.
Mwa iwo, mankhwala otsatirawa ndi osiyana:
Kutsitsa cholesterol, ma statin ndi ma fiber amagwiritsidwa ntchito:
Zakudya zamagulu
Kukwezedwa kwa insulini m'magazi kumafuna kuti wodwalayo azitsatira zakudya zapadera, zomwe cholinga chake ndi kukhazikitsa kuchuluka kwa mahomoni. Zakudya zosankhidwa bwino zimathandiza kupewa shuga, kuchepetsa thupi komanso kuchepetsa kuthamanga kwa magazi.
Zakudya zopatsa thanzi zimaphatikizapo:
- kugwiritsa ntchito zakudya zamagulu owonjezera (100-150 g patsiku),
- kukana nyama yokazinga, mafuta, maswiti ndi chakudya mwachangu,
- kukanidwa zakumwa zoziziritsa kukhosi ndi zakumwa zomwe zimakhala ndi shuga wambiri,
- kugwiritsa ntchito mitundu yamafuta ochepa a nyama ndi nsomba, zinthu zamkaka, masamba ophika ndi ophikira, chimanga, nyemba,
- zakudya zabwino 5-6 patsiku,
- kusiya mowa
- kugwiritsa ntchito zotsekemera m'malo mwa shuga,
- kutsatira lamulo lakumwa.
Zochita zolimbitsa thupi
Kuchita masewera olimbitsa thupi (LFK) monga gawo la zovuta mankhwala kumakhala ndi phindu pa ntchito ya thupi lonse. Seti ya masewera olimbitsa thupi apadera imapangidwa payekhapayekha kutengera deta yoyambirira komanso thanzi la wodwalayo. Mutha kuyamba kuchita masewera olimbitsa thupi pokhapokha mutakambirana ndi endocrinologist, komanso mutasanthula mkhalidwe wamtima wamtima.
Kuchita masewera olimbitsa thupi kumathandiza:
- kukulitsa chidwi cha maselo ku insulin,
- kusintha magazi,
- Chepetsani chiopsezo cha zovuta komanso kulimbitsa chitetezo chamthupi,
- kukondoweza kwa kagayidwe kazakudya.
Magulu olimbitsa thupi olimbitsa thupi amagawa katundu m'magulu onse a minofu, ndipo zolimbitsa thupi zimachitika pang'onopang'ono pamtunda wokwanira.
Pa zochitika zolimbitsa thupi, ndikofunikira kuyang'anira kupumira ndi kugunda kwa mtima ndikusiya kuchita masewera olimbitsa thupi poyambira kukula kwa khungu. Kutalika kwa masewera olimbitsa thupi ndi mphindi 15-30. Njira yogwiritsira ntchito zolimbitsa thupi imachitika moyang'aniridwa ndi dokotala.
Maphikidwe a anthu
Maphikidwe a mankhwala achikhalidwe sangathe kuthetsa zomwe zimapangitsa kuti insulin iwonjezeke m'magazi, komabe, amathandizira kuthetsa zomwe zimayambitsa chisokonezo, komanso kuchepetsa kuchuluka kwa mahomoni.
Pofuna kuthana ndi insulin yambiri, ikani izi:
- Madzi a Beetroot. Opaka ma beets atatu akulu pa grater yabwino ndikufinya msuziwo kuchokera pa misa. Pazakudya za tsiku ndi tsiku, mumafunikira pafupifupi 200 ml ya madzi, amagawidwa mu 4 waukulu.
- Madzi a mbatata. Finyani 100 ml ya madzi kuchokera ku mbatata yaiwisi. Imwani 50ml kawiri pa tsiku 2 maola musanadye.
- Chinyengo cha kusalana kwa chimanga. Pogaya 100 g ya stigmas chimanga ndi chosakanizira kapena khofi chopukusira ndi kutsanulira 400 ml ya madzi otentha. Ikani njira yothetsera vutoli tsiku limodzi m'malo abwino, abwino. Imwani pafupifupi 150 ml kamodzi patsiku.
- Decoction of bay bay. Ma PC 5. dula masamba a Bay tsamba kukhala ufa ndikuthira 1 chikho madzi otentha. Limbikani kwa maola 12 pamalo abwino. Imwani 50 ml katatu patsiku.
- Chinyengo cha mizu ya burdock. 2 tbsp. l Muzu wowaza wa burdock kutsanulira 200 ml ya madzi otentha, kunena kwa maola awiri ndi atatu. Tengani chikho 1/3 katatu pa tsiku mukatha kudya.
Zotsatira za kuchuluka kwa insulin m'mwazi
Kukwezedwa kwa insulini m'magazi seramu kumakhudza mkhalidwe wathunthu wa thupi ndipo kungayambitse kukula kwamavuto ambiri:
- kukulitsa kwa hypoglycemia, komwe kumachepa mphamvu yogwira ntchito, kumva kutopa, kusakwiya, kuchepa kwa chidwi ndi chidwi,
- kutseguka kwa kukula kwa maselo oyamba, omwe pambuyo pake amatha kukhala owawa,
Insulin yokwera m'magazi ingayambitse matenda a shuga
Kuchuluka kwa insulini m'magazi kumawonjezera zovuta zomwe zingayambitse matenda osokoneza bongo ndipo kumafunikira kupenda bwino thupi kuti mudziwe zomwe zimayambitsa kuchuluka.
Pambuyo pakutsatira njira zonse zodziwitsa, chithandizo chovuta chimayikidwa, chophatikiza kugwiritsa ntchito mankhwala komanso kudya kwapadera. Chithandizo choyambitsidwa panthawiyi chithandiza kupewa zovuta komanso kukonza zomwe zimachitika mthupi.
Kapangidwe kake: Mila Friedan
Mitundu ya kulephera kwa mahomoni
Bovine, nkhumba, ndi insulin yaumwini imabisidwa, kutengera magawo awo. Mitundu iwiri yoyambirira sigwiritsidwa ntchito masiku ano. Chachitatu, makamaka chopezeka pogwiritsa ntchito matekinoloje obadwa nawo, ndicho chisankho choyamba cha mankhwala a insulin.
Malinga ndi kutalika kwa kuchitapo, pali:
- IUD - owonjezera omwe amagwira ntchito mwachidule,
- ICD - ma insulin osakhalitsa,
- ISD - mankhwala a nthawi yayitali pochita,
- IDD - kuchitapo kanthu
- ma insulin ophatikizika (amakhala ndi insulini yamaudindo osiyanasiyana).
Kuperewera kwa mahomoni ofunikira mu magazi amagawika m'magulu awiri, kutengera zomwe zimapangitsa.
Chifukwa chake, ngati kupanga kwa insulin kuchepetsedwa chifukwa cha kusintha kwa ma pathological m'maselo a kapamba, tikulankhula za mtheradi, wotchedwa pancreatic insuffence.
Mosiyana ndi izi, kuperewera kwa insulin kumapangidwa munthawi yachilengedwe.
Kuchulukitsa, insulini yambiri imapangidwa, komabe, chiwopsezo chake cha minofu chimasokonekera, kapena zochitika zimachepa. Mu nkhani yoyamba, titha kufotokoza za chitukuko cha matenda a shuga 1. Insulin pamenepa siipangidwa mokwanira, kapena kapangidwe kake katayikiratu.
Kuperewera kwa insulin mwa mwana
Nthawi yowopsa kwambiri yolakwika pakubwera kwa mahomoni muubwana ndi zaka 5 mpaka 11, chifukwa pofika zaka zisanu zikondwererozi zimapangidwa kale. Insulin yotsika mwa mwana imakhala yodzala ndi matenda opatsirana (ma mumps, chikuku, rubella) kapena kuchedwa pakupangika kwa neural pathways.
Ndikotheka kudziwa kusowa kwa timadzi tating'onoting'ono ngati mwana akufunika kusowa kwamadzi kawirikawiri. Popewa zovuta zotere komanso kukhala pachiwopsezo cha kukhala ndi matenda amtundu woyamba, mwana ayenera kupatsidwa katemera wodziwika bwino, komanso kuyang'anitsitsa zakudya zomwe amadya.
Kuchuluka kwa chakudya kwamaso ndi 10 g.
Zizindikiro zazikulu
Kuwonjezeka kwakukulu kwamankhwala a insulin amatchedwa hypoglycemia. Zizindikiro za matenda amtunduwu:
- kukhumudwa
- kukhumudwa
- kukumbukira kwakasokonekera ndi mphamvu yosungira,
- kuyang'ana chidwi ndikovuta kwambiri.
Ndi hypoglycemia yomwe ikupita patsogolo, zizindikiro zazikulu zimayamba msanga:
- kutopa kwambiri
- kupeza kunenepa kwambiri.
Ana odziwika kwambiri omwe ali ndi zaka zochepa amakhala ndi vuto loti mwana angagwiritsidwe ntchito mwachidwi madzi kapena kuyamwa bere. Chizindikiro china ndikuuma kwa ma diap mu mkodzo, komwe kumadziwika kuti shuga yowonjezera ikayamba kutulutsidwa m'thupi la munthu limodzi ndi mkodzo.
Chifukwa cha kuchepa kwa insulin m'magazi, mawonekedwe, mwachitsanzo, hyperglycemia ndi ena, amatha kupanga.
Polankhula za hyperglycemia, amatanthauza kuti chiwonjezerochi chikuwonjezeka m'magazi. Kuphatikiza apo, ana ndi akulu atha kuona kuti kusowa kwathunthu kwa gawo la mahomoni kapena kuchepa kwake m'thupi kumabweretsa chifukwa choti glucose satumizidwa m'maselo.
Chifukwa chake, amayamba kudziunjikira m'mwazi. Maselo, amakumana ndi vuto lalikulu la shuga, lomwe ngakhale chakudya sichithandiza.
Kuwonjezeka kwa chizindikiro kumayambitsa hypoglycemia, popeza pakadali pano shuga amayamba kudyedwa kwambiri.
Zowonetsera zazikulu za izi:
- kumverera kwa kukhumudwa
- kukhumudwa
- kusokonezeka kwa kukumbukira
- idachepetsa chidwi.
Mutha kudziwa kuchepa kwa insulini m'thupi ngati zizindikiro zotsatirazi zikuonekera:
- shuga wamagazi ambiri
- Nthawi zambiri ndimapita kuchimbudzi ndikusowa kwenikweni, makamaka usiku,
- chosakwanira madzimadzi kufunika
- machiritso olakwika a abrasions,
- wotopa komanso wofooka.
Ngati shuga m'magazi ndiwabwinobwino ndipo kuchuluka kwa insulini kumachepa, wodwalayo sangakhale ndi zizindikiro zokhudzana ndi kukula kwa matenda ashuga - ludzu pafupipafupi komanso kukodzanso pokodza.
Kutopa kumakula, komwe kumayenera kuonedwa kukhala chizindikiro chachikulu cha matenda.
Momwe mungakonzekerere mayeso a mahomoni?
Zotsatira za kusanthula kulikonse zitha kukhala zolakwika, makamaka ngati wodwalayo sanathe kukonzekera bwino.
Kuti mupeze chizindikiro cha insulin popanda zosokoneza, muyenera kutsatira malangizowo:
- Pereka magazi kokha pamimba yopanda kanthu. Usiku wamaphunziro asanafike, ndikofunikira kuyesa kupatula zotsalira kuti zotsatira za kafukufuku zitheke. Njira yabwino ndikugwiritsa ntchito madzi okha kwa maola 8 musanatengere magazi.
- Osangolimbitsa thupi kapena kuchita masewera olimbitsa thupi tsiku loti menyedwe.
- Zakudya zopatsa mphamvu za shuga siziphatikizidwa muzakudya maola 20 musanawunikidwe.
- Kwa masiku awiri musanatsutse magazi, chakudyacho chizikhala ndi menyu wokhoma.
- Madzulo a phunziroli, mowa wina uliwonse uyenera kusiyidwa kwathunthu.
- Kusuta kuyenera kuyimitsidwa osachepera maola 2 mayeso asanayesedwe.
- Wodwala ayenera kukana chithandizo chamankhwala chomwe chingapangitse shuga, osachepera masiku awiri lisanachitike kusanthula. Mwachitsanzo, muyenera kusiya kumwa njira zakulera, glucocorticosteroids.
Kulondola kwa deta yomwe yapezedwa kumatsimikiziridwa ndikuwunika ndi katundu.
Pachifukwa ichi, magazi a wodwala amatengedwa kawiri:
- kusala kudya kaye
- Patatha maola awiri mutamwa njira ya glucose (mkamwa).
Kuphulika kwa mahormoni sikuti kumasokoneza zotsatira, kotero azimayi amatha kuyesedwa ngakhale m'masiku ovuta.
Zotsatira za kusanthula sizingakhale zoona nthawi zonse, ndikofunikira kuzikonzekera molondola. Muyenera kuwunikira pambuyo pothamanga kwa maola 12. Ndikofunika kuti musamwe mankhwala.
Kuti mupeze ndikupeza deta yodalirika, muyenera kuperekera magazi kawiri ndi gawo la maola awiri. Pambuyo pakupenda koyamba, yankho la glucose limatengedwa, ndiye kuti njirayi imabwerezedwa. Kuunika uku kumapereka chithunzi cholondola kwambiri cha kuchuluka kwa insulin m'magazi.Mulingo wake utachepetsedwa kapena kuwonjezeka, izi zikuwonetsa kusayenda bwino m'matumbo ndi matenda omwe angathe.
Njira Zochizira ndi Njira Yamoyo
Miyezi yambiri ya insulini yokhala ndi shuga wabwinobwino ndi zovuta zina zofananira ziyenera kuthandizidwa mwachangu. Izi zimalola kupatula mapangidwe azovuta ndi zotsatira zoyipa.
Musanafotokoze maphunziro okonzanso, ndikulimbikitsidwa kuti muzindikire chomwe chinapangitsa kuti pakhale vuto. Kutengera izi, akatswiri amapereka chithandizo chamankhwala choyenera, kuyambitsa zakudya zapadera kapena masewera olimbitsa thupi.
Insulin yayikulu, yomwe idadziwika kale m'magazi, imatha kuchepetsedwa pokhapokha ngati mumatsatira chithandizo choyenera ndikutsatira malangizo onse azachipatala.
Wodwala amatha kupatsidwa mankhwala omwe amachepetsa kuchuluka kwa insulin. Komabe, mankhwala okha sangathe kugawidwa ngati simugwiritsa ntchito zakudya komanso kuchita masewera olimbitsa thupi mwapadera kuti muchepetse insulin ina m'magazi.
Ndikufuna kusamalitsa kwambiri zakudyazo, zomwe zimaphatikizapo zakudya zosankhidwa bwino. Zinthu monga shuga sizipezeka mu chakudya cha wodwalayo.
Kuphatikiza apo, tisaiwale kuti pali zina m'malo mwa zomwe zaperekedwa - tikulankhula za zotsekemera, maralmallows otsika kapenanso zinthu monga marmalade. Gawo lofunika kwambiri pakudya kwachepetsa shuga liyenera kukhala likutsata chakudya cha anthu.
Zachidziwikire, siziyenera kupatulidwa kwathunthu, pomwe ndizolimbikitsidwa kuti zisankhidwe molondola ndikugawidwa muzakudya masana.
Kuchuluka kwa insulini m'mwazi kumatanthauzanso kuti kugwiritsa ntchito mchere ndikofunikira kuti muchepetse kapena ngakhale kusiya.
Mankhwala a insulin
Njira yosavuta kwambiri komanso yosavuta yovomerezeka yodalirika ndi zakudya zabwino komanso chithandizo chakuyenda. Zotsatirazi ziyenera kupitilira menyu:
- Masamba atsopano ndi zipatso
- amadyera
- zopangidwa mkaka,
- buledi wathunthu
- chimanga.
Pali njira ziwiri zopangira insulin mu matenda a shuga:
- Zachikhalidwe. Chomwe chimagona pakukhazikitsa tsiku lililonse mankhwala a insulini (ofanana) pafupifupi nthawi zambiri (kawirikawiri 1-2). Zosakanikirana zakonzedwa zazifupi ndi zapakatikati zimagwiritsidwa ntchito, ndi 2/3 ya mlingo wa tsiku ndi tsiku womwe umaperekedwa m'mawa, ndipo wotsalira asanadye chakudya chamadzulo. Izi siziwathandiza anthu akhama, popeza milingo ya mankhwalawa ndi yokhazikika ndipo wodwala alibe mwayi wowasintha. Amawonetsedwa kwa okalamba, ogona komanso odwala olumala.
- Zoyambira kwenikweni (zolimba). Chimafanana ndi kutulutsa kwathupi kwa insulin. Zofunikira zake zimaperekedwa ndi jakisoni wam'mawa ndi madzulo a insulin, ndipo wodwalayo amaperekanso insulin yochepa asanadye. Amawerengera yekha mlingo wake womaliza, molingana ndi kuchuluka kwa shuga wamagazi ndi kuchuluka kwa chakudya chamagulu omwe azigwiritsa ntchito. Ndilo chiwembu ichi chomwe chimalepheretsa kukula kwa zovuta za matenda ashuga ndikukulolani kuti muzitha kuthana ndi matendawa. Inde, pamafunikira maphunziro a wodwala asanachitike.
Kufunika kwa insulin tsiku ndi tsiku kumatsimikiziridwa payekha kwa wodwala kutengera gawo la matendawo ndi zina zina.
Contraindication kwa jakisoni wa insulin ndi osakwatiwa. Uku ndi kuchepa kwa shuga m'magazi - hypoglycemia, komanso kusakanikirana ndi mankhwala ena ake a insulin kapena chilichonse chomwe chimapanga.
Insulin yomwe ili mkati mwake imakhala yovuta kwambiri. Kugwiritsa ntchito kwawo sikuloledwa kwa odwala omwe ali ndi mbiri ya ana, komanso matenda ena am'mapapo - bronchitis, emphysema, mphumu ya bronchial.Kuphatikiza apo, mankhwalawa amaphatikizidwa kwa odwala omwe amasuta m'miyezi isanu ndi umodzi yapitayo.
Zizindikiro zogwiritsidwa ntchito
Mankhwala a insulin angafunike kwa wodwalayo pazinthu zotsatirazi:
- adawonetsa mtundu wa shuga wotchedwa I,
- wapezeka ndi ketoacidosis ya zovuta zilizonse,
- ali ndi vuto la matenda ashuga, hyperosmolar kapena lactic acidosis,
- matenda oopsa a purulent amachitika
- ndi matenda osakhazikika a pachimake, akudwala kwambiri,
- pamaso pamavuto a shuga, makamaka zotupa zam'mimba zomwe zimalepheretsa thupi kugwira ntchito,
- ngati wodwala amamwa mankhwala a hypoglycemic pakamwa, koma mlingo wawo wokwanira, ngakhale kuphatikiza zakudya, samakhala ndi zotsatira zoyenera (kusala shuga m'magazi oposa 8 mmol / l, glycosylated hemoglobin woposa 7.5%),
- m'mavuto owopsa a cerebrovascular (stroke),
- ndi myocardial infaration,
- pa kuchitapo kanthu pochita opaleshoni, makamaka, kapamba (kuchotsedwa kwa kapamba),
- ndi kuchepa kwambiri kwamphamvu kwa thupi la wodwalayo.
Kuperewera kwa Hormone: zomwe zimakhudza thupi
Kuchuluka kwa mahomoni kumawerengedwa ngati chizindikiro chowopsa, komanso kuchepa kwake.
Insulin yotsika imayambitsa kuchuluka kwa shuga m'magazi. Maselo akumva njala chifukwa sapeza glucose mu kuchuluka komwe amafunikira. Njira za metabolism zimasokonekera, glycogen imasiya kuyikika m'misempha ndi chiwindi.
Ndi shuga wambiri m'magazi, pali:
- kufunitsitsa kumwa zakumwa zambiri,
- kulakalaka chakudya komanso nthawi zonse kudya,
- kukodza pafupipafupi,
- mavuto amisala.
Ngati chithandizo sichinayambike nthawi yomweyo, kuchepa kwa timadzi timene kumayambitsa matenda a shuga.
Kutsika kumayambitsidwa ndi:
- ntchito yayikulu yamagalimoto kapena kusapezeka,
- mavuto ndi pituitary kapena hypothalamus,
- kudya kwambiri, chakudya chamafuta ambiri,
- matenda osachiritsika kapena opatsirana
- kwambiri psychoemotional boma kapena nkhawa,
- kufooka ndi kutopa.
Momwe mungachepetse milingo ya mahomoni: kupewa
Pofuna kupewa kulephera kokhazikika pakupanga mahomoni apancreatic, ndikofunikira kutsatira njira zotsatirazi:
- pewani kupsinjika
- idyani pang'onopang'ono, koma nthawi zambiri,
- kuchita masewera
- kugona osachepera maola asanu ndi atatu patsiku,
- osagwiritsa ntchito zakudya zamafuta ambiri,
- osamwa mowa.
Monga katundu pamasewera, tikulimbikitsidwa kusankha masewera ofatsa. Kwa akazi, njira yabwino kwambiri ndi njinga. Kuyendetsa njinga mumlengalenga kumathandizira kuchepetsa mafuta m'thupi, minofu ya sitima, kusintha mawonekedwe ndikuwongolera kusintha. M'nyengo yozizira, kuyenda kumatha kulowa m'malo mwa masewera olimbitsa thupi.
Malamulo osavuta awa amakupatsani mwayi wokhala wathanzi komanso wamphamvu, osaganizira zovuta zomwe zingachitike chifukwa chokhala ndi moyo wosayenera.
Mwa chikhulupiriro chabwino, mumatsatira malangizo othandiza komanso osavuta kuti muchepetse kunenepa, ndipo muvi wamiyeso umaima - thupi limalimbana. Zimachitika. Koma chigonjetso chidzakhalabe chathu: dzina lodabwitsa la 'hormone' limadziwika, ndipo tili ndi mphamvu zowongolera ntchito yake. Mlangizi ndi katswiri wazachipatala cha orthomolecular, womenyera sayansi ya zamankhwala Sergey Valentinovich Aleshin.
Anthu omwe amasunga kulemera ngakhale pazakudya kwambiri si ochepa. Asayansi amati izi zimachitika kuti metabolism achuluke. Nthawi zambiri imagwirizanitsidwa ndikupanga insulin yambiri. Homoni yodwalayo imakhwimitsa maselo amafuta, kuwalepheretsa kutenga nawo mbali mu metabolism ndikupereka mphamvu zawo.
Kuchuluka kwa mahomoni m'thupi kumalepheretsa kuti maselo amafuta azichita nawo kagayidwe. Anthu otere, ngakhale atachepetsa thupi, sikuti chifukwa cha mafuta, koma chifukwa cha minofu.
Popita nthawi, kunenepa kwakatundu kumabwezeretsa mafuta atsopano.Koma kuti munthu akhale wokongola, sibwino kulemera thupi lililonse, koma kuchuluka pakati pa 'zothandiza' kulemera kwa mbewa ndi mafupa ndi kulemera kwamafuta 'koyipa'.
Zotsatira zake, munthu amakhalabe paziwerengero zake, koma kuchuluka kwa 'zothandiza' ndi 'zovulaza' zimasintha kwambiri. Insulin yochulukirapo ndimachitika kwambiri kuposa momwe anthu amaganizira.
Chifukwa cha kusintha kwa zakudya za anthu otukuka, izi zakhala tsoka lalikulu. Poyesa kuchuluka kwa insulin m'magazi lero, madokotala ali okonzeka kulingalira za 'standard' za achikulire ambiri (mayunitsi 6-27), ndikuzindikira chizolowezi cha thupi (mayunitsi 0 mpaka pamimba yopanda kanthu) ngati chosatheka.
Kutambasula malire a chizolowezi ndikosavuta komanso kosangalatsa kuposa kuzindikira kuti anthu mamiliyoni ambiri ali ndi vuto la metabolic.
Mokwanira, kusala kwama insulin kwambiri kumatha kukhala pafupifupi magulu 20. Ndipo kuti muchepetse kunenepa, simuyenera kudzipatula pazakudya, koma kuti mumangidwenso kuti muchepetse kupanga kwa insulin.
Kuchepetsa insulini - kuchepetsa thupi!
Gawo Loyamba Idyani gawo lalikulu la zakudya za tsiku ndi tsiku asanafike masana, ndipo pambuyo pa 7 koloko yamadzulo musayese kudya. Sambani ndikusamba mwachangu, kuti mudzilimbikitse kuti posachedwa thupi lidzazolowera boma latsopano ndikukonzanso. Poyamba, simungasinthe kuchuluka kapena kuchuluka kwa chakudya, koma nthawi yakudya. Izi zipereka kale zotsatira.
Gawo Lachiwiri: Pewani zakudya zomwe zili ndi index yayikulu ya glycemic - zomwe zimapangitsa kuti pakhale insulin yambiri. Zachidziwikire, sikuthekanso kudalira mbatata ndi mkate. Koma poyamba mumatha kudya monga momwe mumafunira, komabe, zakudya zochepa zotsika kwambiri komanso, monga momwe timakumbukira, m'mawa. Chifukwa chake muyenera kuphunzira gomec katundu patebulo.
Gawo Lachitatu Pakapita kanthawi, ambiri, mwakufuna kwawo, amayamba kuchepetsa magawo. Koma simuyenera kuthamangira zinthu.
Chilichonse chidzachitika chokha - chifukwa thupi tsopano limafuna 'mafuta' ochepa. Kuphatikiza apo, kuchepetsa thupi, kukhala ochepa, osavuta kusuntha - ndizabwino kwambiri.
Chidwi Kuyesa kudzipatula motsimikiza mwa insulin ndi mankhwala omwe amalepheretsa kupanga kwake ndi koopsa.
Kufunsira kwa endocrinologist kumafunika.
Kodi mukuwopa kuti kukhala moyo wotereku sikophweka? Kuti muchepetse matendawo, simuyenera kupita kwa owotchera mafuta kapena baluni kuti mudzaze kuchuluka kwa m'mimba. Tiyeni titsegule chinsinsi: m'chilengedwe muli chinthu chomwe chingachepetse kupanga insulin pang'ono, motsutsana ndi maziko azakudya zopatsa mphamvu zama carb ochepa.
Mankhwala (kapena m'malo mwake, zovuta zawo) amakhala mu zipatso za mapeyala, ndipo amatha kuchichotsa pamenepo, koma pazifukwa zina m'dziko lathu amapezeka muzodzikongoletsa zokha. Ngati muli ndi mwayi ndikupeza mapeyala a avocado m'mapiritsi opangira pakamwa, mugule pokhapokha - kuti muthane ndi zovuta zamadzulo zamadzulo.
Pazifukwa zomwezo, mutha kugwiritsa ntchito zipatso za avocado okha, kudya kotala (ndipo ngati mukufuna - zina) panthawi yomaliza, komanso maloto amtsogolo ...
Momwe mungachepetse insulin? Malamulo angapo osavuta ayenera kusamalidwa:
- muzingodya 2 kokha pa tsiku,
- ndikofunika kukana kudya kwakanthawi kamodzi pa sabata: izi zithandiza maselo kuchira,
- muyenera kuyang'anira insulin index (II) ya malonda, ndikuwonetsa zomwe zili mu glucose zomwe zili m'zinthu zina.
- Kuchita masewera olimbitsa thupi kumachepetsa, koma osagwiritsa ntchito kwambiri,
- ndikofunikira kuwonjezera CHIKWANGWANI m'zakudya ndikuchepetsa kuchuluka kwa chakudya chamagetsi.
Kuti thupi lizigwira ntchito molondola, komanso kuti munthu azikhala wathanzi, muyenera kuwongolera kuchuluka kwa timadzi tambiri tambiri komanso kuti muzisamalira zinthu zomwe zimachepetsa kapena kukulitsa kuchuluka kwake. Zonsezi zimathandiza kutalikitsa moyo komanso kuthandiza kupewa matenda. Samalirani thanzi lanu.
Mankhwala achikhalidwe amalimbikitsa chakudya chochepa chamafuta kuchizira matenda amtundu 1 komanso matenda ashuga a 2. Zakudya izi ndizabwino kwambiri kwa anthu omwe sanadwale matenda a shuga 2, koma omwe ali onenepa kwambiri ndipo akufuna kuchepetsa thupi.