Madzi a insulin

Popeza mahomoni amapangidwa ndi kapamba mwachangu panthawi yakudya, ndizotheka kudziwa kuti insulin ndiyabwinobwino, pokhapokha pamimba yopanda kanthu. Pali mitundu yofunikira ya insulin, izi zizigwiritsidwa ntchito poyesa kusintha kwa mphamvu mukatha kudya.

Mulingo wa insulin m'magazi a munthu wathanzi amasonyezedwa pagome:

Mwa amayi ndi abambo, kuchuluka kwa mahomoni ndi ofanana. Kupanga kumadalira kuchuluka kwa mphamvu zamagetsi zofunika. Mwa amayi apakati okha omwe kuchuluka kwake kumakwera chifukwa cha zosowa zamphamvu zambiri.

Zofunika kwa achikulire, komanso amayi apakati, mphamvu zowonjezereka pamene akuchita minyewa yogwira ntchito. Izi zimabweretsa kuchuluka kwa okalamba.

Mu ana, mahomoni amapangidwa ochepa, omwe amalumikizidwa ndi kuchepa mphamvu kwa mphamvu, kotero mawonekedwe ndiwotsika poyerekeza ndi akuluakulu.

Kupatuka kwa mfundo izi kuchokera mulingo wamba kumawonetsa kukhalapo kwa matenda a kapamba. Ndikofunikira kwambiri kudziwa kuchuluka kwa insulini mwa ana, popeza ndi matenda omwe amayamba mtundu wa 1 shuga. Ndi matenda, kusowa kwathunthu kwa insulin kumatsimikiziridwa. Izi zikutanthauza kuti ma cell a gland samatulutsa mahomoni. Chifukwa chake, kutsimikiza kwa insulin pamkhalidwewu kumachita gawo lofunikira.

About insulin

Oposa 70% ya odwala omwe ali ndi insulin yambiri samazindikira kuti matendawa ndi chiani komanso kuti kuchuluka kwa zinthuzo kukuwonetsa. Akatswiri amachenjeza kuti insulin yayikulu m'magazi imatha kukhala zifukwa zingapo, zonsezi zoyipa za zinthu zakunja ndi matenda oopsa.

Kuti mumvetse zomwe zimachitika mthupi ndi kuchuluka kwa chinthucho komanso chifukwa chake vutoli lili loopsa, muyenera kudziwa zomwe timadzi timene timayang'anira. Udindo wake umaphatikizapo:

• kupatsa maselo ma amino acid ndi potaziyamu,
• kuchuluka kwa minofu yaying'ono,
• kayendedwe ka shuga kamene kamachokera m'magazi kupita m'matupi amthupi,
• Malangizo a kagayidwe kazakudya,
• kuponderezana kwa michere yomwe imatsogolera kukuwonongeka kwa glycogen ndi mafuta,
• kuchita nawo mapuloteni ndi lipid metabolism.

Zisonyezo za kuyesa kwa insulin

Kusanthula kumayikidwa ngati akukayika matenda a pancreatic. Anthu omwe

Ngati achibale apafupi ali ndi matenda monga matenda ashuga, amafunika kuyang'ana kuchuluka kwa shuga wawo kamodzi pachaka.

Kukhazikitsidwa kwa kusanthula kwa mwana kumachitidwanso ndi adokotala - endocrinologist. Kukula kwa matenda amtundu wa shuga 1 kwa mwana nthawi zonse kumayendetsedwa ndi kuchepa kwambiri kwa thupi, kukula kotheka kwa mikhalidwe ya hypoglycemic. Zizindikiro monga kuchepa thupi, ludzu lowonjezereka, komanso kuchuluka kwamkodzo tsiku lililonse ndizizindikiro zakuyesa.

Mitundu ya insulin imadziwikanso kuti mudziwe momwe mankhwalawo amathandizira. Anthu odwala matenda ashuga amalandila mankhwala tsiku lililonse. Chifukwa chake, kuperekera kuwunikirako ndikofunikira kwambiri.

Chizindikiro choyamba cha kusayenda bwino kwa masamba a pancreatic ndikudzipereka kwa shuga m'magazi. Kusanthula uku kumachitika ndi aliyense akavomerezedwa ku chipatala kapena chipatala. Kuphatikiza apo, mulingo wa hemoglobin wa glycated umatsimikiziridwa. Chizindikirochi chikuwonetsanso kuchuluka kwa mahomoni m'magazi. Nthawi yomweyo, glycated hemoglobin ndi mtundu wodalirika kwambiri wofufuza: glucose amatsimikiza, omwe maselo ofiira a m'magazi "adatola" kumtundu wawo. Popeza kuchuluka kwa moyo wa erythrocyte ndi miyezi 4, titha kuganiza kuti kuchuluka kwa hemoglobin chifukwa cha kusintha kwa glucose osati panthawi, koma kupitirira miyezi 4.

Kusanthula mwa akulu

Kutsimikiza kw labotale kumachitika ndi kutenga magazi m'mawa, musanadye. Izi ndichifukwa choti mukamadya, kuchuluka kwa timadzi timatulutsa. Chifukwa chake, onani kuchuluka kwa insulin m'magazi pamimba yopanda kanthu.

Tsiku loti mayeso asavomerezedwe kumwa mankhwala. Zachidziwikire, pankhaniyi, muyenera kufunsa dokotala zakuchotsa mankhwala musanapange mankhwala.

Ndikofunikanso kuchepetsa kuchita masewera olimbitsa thupi, tsiku lisanafike kusanthula.

Posankha kuchuluka kwa kulolera kwa glucose, magazi amatengedwa kawiri. M'mawa, mpanda woyamba umachitika, ndiye kuti amapatsa shuga shuga kuti amwe ndipo pambuyo pa ola limodzi magazi amatengedwa kachiwiri. Chifukwa chake, wunikirani kusinthika kwa kusintha kwa kuchuluka kwa mahomoni. Pankhaniyi, wodwalayo sayenera kudya pakadutsa mpaka nthawi yachiwiri yotsatsira magazi.

Njira imodzi yosavuta yoweruzira kuchuluka kwa timadzi timenewu ndi kudziwa kuchuluka kwa shuga m'magazi a capillary. Ngati mulingo wapitilira, izi zikuwonetsa kusowa kwa mahomoni kapena kuchepa kwa chidwi cha insulin ku glucose.

Kudziwitsa za kuchuluka kwa insulin mwa mwana

Mu makanda, kuchuluka kwa insulin nthawi zonse kumakhala chimodzimodzi. Izi ndichifukwa cha machitidwe awo achilengedwe. Kudalira kwa insulin pa shuga kumayamba pambuyo pa kutha. Glucometer ndi imodzi mwanjira zosavuta komanso zosavuta zophunzirira insulin mwa ana ndi akulu. Njirayi imakhazikitsidwa ndikuwonetsetsa kuchuluka kwa glucose, omwe mosaloledwa amakulolani kuweruza mahomoni.

Kuti muchite izi, muyenera kutsatira izi:

• Sambani m'manja mwamwana,
• mankhwalawa gwiritsirani ntchito mowa kapena mankhwala ena aliwonse
• muyenera kukhazikitsa chipangizochi molingana ndi malangizo,
• ikani mkanda wapadera kuchokera m'bokosi,
• kubaya chala pang'ono ndi singano ya glucometer,
• ikani dontho la magazi pamalo omwe ali pachiwonetsero malinga ndi malangizo,
• sinthani zotsatirazo patatha masekondi 30.

Mulingo wotsika

Kutsika uku kukuwonetsa matenda otsatirawa:

• mtundu 1 shuga
• hypoglycemic coma,
• kusokonezeka kwa pituitary gland.

Mwa amuna, mwakuchita zolimbitsa thupi, kuchuluka kwa mahomoni kumachepa.

Kuperewera kwa insulin kumatha kukhala m'mitundu iwiri, ndizosakwanira komanso kuperewera kwathunthu. Yoyamba imapezeka mu mtundu 2 shuga. Nthawi yomweyo, pali kuchuluka kwa insulini, koma sikungathandize maselo a minofu kuti amwe glucose. Vutoli, lomwe limayambitsa matenda a shuga a mtundu 2, amatchedwa kukana insulini. Kubwezeretseka konse kumachitika mu mtundu woyamba wa shuga, ndipo nthawi zambiri sikungasinthike, kutanthauza kuti kapamba sikutchiritsa mahomoni konse. Kusintha kulikonse kwa mahomoni kumatha kunena za matenda a gland.

Mankhwala okwera insulin

Mulingo wokwezeka ukhoza kukhala chizindikiro cha:

• mtundu 2 shuga
• Matenda a Itsenko-Cushing,
• matenda a chiwindi
• kunenepa kwambiri, monga kunenepa kwambiri 2 ndi 3.

Nthawi zambiri, insulin yapakati m'magazi imachulukitsidwa, izi zimatengedwa ngati thupi.

Mwa akazi, hyperinsulinemia imatha kuwonetsa kukhalapo kwa ma cysts a ovari.

Zizindikiro za kusintha kwa insulin

Zosintha pamasamba a mahomoni nthawi zonse zimawonetsedwa ndi kusintha kwina pakugwira ntchito kwa ziwalo ndi machitidwe.

Zizindikiro zakuchepa kwambiri kwa insulin komanso kuchuluka kwa shuga ndi zotsatirazi (zizindikiro za matenda ashuga):

• ludzu lalikulu
• kulakalaka
• Khungu
• kukonzanso kwapang'onopang'ono kwa mabala owoneka,
• Kuchepetsa kwambiri thupi
• polyuria.

Kuchepa kwambiri kwa ndende ya glucose, anthu omwe ali ndi matenda a shuga 1 amatha kudwala matenda a hypoglycemic. Izi ndi zinthu zofunika kwambiri kuchipatala.

Zizindikiro za kusintha kwa insulin mwa ana ndi:

• machitidwe omwe amangokhala, osafuna kusewera,
• ulesi, kugona,
• kusinthasintha
• kulakalaka kosalekeza
• kuwonda
• kukopa kwa pakhungu.

Ngati zizindikirozi zikuwoneka, muyenera kufunsa dokotala - endocrinologist.

Kudziwitsa za mulingo wa chinthu m'magazi

Njira yolondola kwambiri komanso yodalirika yodziwira zomwe zili m'magazi anu ndiyo kupimidwa magazi. Mutha kuchita zofanananso masiku ano kuchipatala chilichonse ndi kuchipatala. Kuti zisonyezo zikhale zodalirika momwe zingathekere, wodwalayo ayenera kudziwa momwe angakonzekerere poyesedwa.

Chofunikira kwambiri chomwe muyenera kukumbukira ndichakuti amapereka magazi okha pamimba yopanda kanthu. Izi ndichifukwa choti mutatha kudya, kapamba amayamba kupanga insulin mwachangu, chifukwa chake zotsatira zake zimadzakhala zosokoneza. Ichi ndichifukwa chake odwala akuluakulu amaloledwa kudya osachedwa kuposa maola 8 musanatengere magazi.

Izi sizikhudza ana, chifukwa chake, ndizotheka kutenga kuchokera kwa ana nthawi iliyonse, mosasamala kanthu za kudya. Thanzi limayamba kukhudza kuchuluka kwa glucose kokha muubwana, pafupi ndi zaka 12-14.

Kuyesedwa kwa magazi kwa insulin kungachitike m'njira ziwiri:

• koyamba, kuyamwa magazi kumachitika mu labotale, makamaka pamimba yopanda kanthu,
• pankhani yachiwiri, kuyezetsa kumachitika mwa kudziwa kulolera kwa glucose. Kuti izi zitheke, wodwalayo ayenera kumwa kapu yamadzi momwe glucose amasungunuka. Pakatha maola awiri, dokotala azisintha magazi ndikutumiza zotsalazo kuti ziphunzire.

Kusanthula kukakhala, kuyambira pa zomwe zapezedwa, adotolo azindikira momwe maselo a insulin amathandizira kuchoka pazinthu zonse, ndikuwuzani zomwe muyenera kuchita kuti mubwezeretse mwachizolowezi. Tiyenera kumvetsetsa kuti regimen yodziwika bwino ya mankhwalawa imatha kutumizidwa pokhapokha mutazindikira mozama, pomwe zidzaululika kuti zinayambitsa kuchuluka kwa mahomoni.

Zambiri za Hormone

Kwa amuna ndi akazi achikulire, njira yokhazikitsira insulin m'magazi imayambira 3,8 mpaka 20 μU / ml. Kuyesedwa kuti mupeze kuchuluka kumeneku kumatengedwa pamimba yopanda kanthu ndikatha kudya. Izi ndichifukwa choti mukatha kudya, kuchuluka kwa shuga m'magazi kumawonjezeka ndipo, chifukwa chake, insulin imakulanso. Chifukwa chake ngati mutatenga zofufuzira mukatha kudya, zotsatira za kusanthula sizikhala zolondola.

Izi zakuthupi sizimagwira ntchito kwa ana omwe sanadutsebe uchinyamata. Magazi awo amatengedwa, ngakhale adadya kapena ayi. Mwana akayamba kutha msonkho, kupanga insulini kumadalira chakudya. Chikhalidwe cha insulini mu makanda ndichofanana ndi akulu.

Zimayambitsa Insulin Yaikulu Ya magazi

Ngati kuwunika koyesedwa kwa magazi kukuwonetsa kupatuka kwa chinthucho kuchokera ku chizolowezi, sikuti chifukwa chodera nkhawa. Insulin yowonjezera m'madzi a m'magazi imatha kuphatikizidwa ndi zifukwa zosiyanasiyana, kuphatikizapo moyo wamunthu. Katswiri wodziwa bwino yekha ndi yemwe angazindikire chithunzi chonse chachipatala ndikupanga matenda odalirika.

Nthawi zambiri, kuphatikiza kwazigawo kumachitika chifukwa cha zinthu izi:

• Hypersecretion yam'mimba (kuchuluka kwa zida zam'mimba zamatumbo),
• kumwa kwambiri maswiti ndi zakudya zina zambiri zamafuta ochepa. Monga momwe masewera amasonyezera, mu 40% ya mavutowa ndi chakudya chopanda malire chomwe chimapangitsa kuti inshuwaransi ipangike kwambiri.
• kutsatira kwambiri zakudya zamagetsi ndi kumenya kwa nthawi yayitali komwe kumayambitsa kutaya kwa magazi m'mimba ndi kapamba,
• zolimbitsa thupi zolimbitsa thupi zolimbitsa thupi,
• Kugwiritsa ntchito mankhwala kwakanthawi
• Matenda ndi mavuto a chiwindi.
• kupsinjika kosalekeza ndi zokumana nazo zamavuto. Kusakhazikika m'maganizo sikungangowonjezera kuchuluka kwa insulin m'magazi seramu, komanso kumayambitsa chitukuko cha matenda owopsa, kuphatikizapo matenda a shuga.
• zosokoneza mu ntchito ya pituitary gland ndi adrenal cortex,
• kuchuluka kwa insulini yokhala ndi shuga wabwinobwino nthawi zambiri kumachitika chifukwa cha ma cell a polycystic adrenal glands (njira yomwe ma neoplasms osiyanasiyana amayamba kupanga pa chiwalo),
• kukhalapo kwa kunenepa kwambiri. Kulemera kwambiri komanso kunenepa kwambiri kumasokoneza mayamwidwe abwinobwino a mafuta ndi kusungidwa kwa chakudya chamagulu, chifukwa chomwe kapamba amagwira kwambiri, komanso magazi amayenda, m'malo mwake, amayamba kulipira.
• kubala mwana.

Kupatuka ku chizolowezi cha insulin m'mwazi mwa amayi ndi abambo kumatha kuwonedwa ndikusowa kwa mavitamini ndi mchere. Makamaka, nthawi yofananira imawonedwa ndi kuchepa kwa chromium ndi tocopherol (vitamini E). Ndizofunikanso kuganizira kuti njira zina za m'magazi ndi zotupa zimatha kuyambitsa insulini yambiri.

Mwachitsanzo, kuchuluka kwa insulin kumatha kuchitika mu matenda aimpso, kukanika kwa adrenal, komanso mapangidwe a neoplasms mu ziwalo zam'mimba. Chinanso chomwe chimayambitsa kusokonekera kwa mahomoni ndi kupezeka kwa matenda a shuga a mtundu wachiwiri.

Mu matendawa, kukana insulini kumawonedwa - njira yomwe maselo amthupi amasiya kumva komanso kukhudzidwa ndi mahomoni, chifukwa chomwe kapamba amayamba kupanga pang'onopang'ono. Koma zimawonedwa pokhapokha ngati matendawa atakula, mpaka njira zake zonse zatha.

Chifukwa chiyani pamakhala hyperinsulinemia?

Kutengera zomwe zimayambitsa vutoli, hyperinsulinemia imagawidwa kukhala:

Fomu yoyamba ndi hyperinsulinemia nthawi imodzi ndi kutsika kwa glucose. Mtunduwu umatchulidwanso kuti pancreatic hyperinsulinism, chifukwa matenda amatsutsana motsutsana ndi maziko osakanikira a insulin antagonist hormone glucagon (chodabwitsa ichi chimatchedwa glucagon hyposecretion). Imayang'anira kuchuluka kwa insulini ndipo pamene kupanga glucagon kulephera, palinso insulin yambiri.

Fomu yachiwiri ndi hyperconcentration ya insulin nthawi yomweyo monga yachilengedwe kapena shuga. Izi matenda limodzi ndi dysfunctions mu chapakati mantha dongosolo ndi kuphatikiza synthesis wa zinthu:

1. Corticotropin (adrenocorticotropic mahomoni),
2. Kukula kwa mahomoni ndi mahomoni okula (ophatikizidwa m'matumbo a pituitary),
3. Glucocorticosteroids (mahomoni onse a adrenal cortex).

Pali zifukwa zingapo zazikulu zomwe zimapangitsa kuti insulini yambiri ipangidwe mwa munthu. Popeza njira yopanga timadzi tomweyiyo sikunaphunziridwe bwino, ndizovuta kudziwa zovuta zonse za hyperinsulinemia. Nthawi yomweyo, akatswiri amadziwa zochitika zingapo, chifukwa choti insulin yambiri imalowa m'magazi kuposa momwe iyenera.

Njira za tumor mu kapamba zimapangitsanso hyperinsulinemia. Maphunziro amatha kukhala m'malo osiyanasiyana a thupi, kuphatikizanso zisumbu za Langerhans (pancreatic). Zikatero, opaleshoni ndiyo njira yokhayo yovomerezeka.

Chithunzithunzi

Ndi insulin yowonjezereka, odwala onse amakumana ndi zotsatirazi:

1. Kaya mumadya kangati komanso mokwanira, mumakhala ndi nkhawa nthawi zonse,
2. Mumatopa msanga
3. Ngakhale mutanyamula katundu wambiri, mumatha kutuluka thukuta ndi kupumira,
4. Khungu lanu limakhala likusunthidwa nthawi zonse,
5. Mabala amachiritsa pang'onopang'ono,
6. Myalgia kwambiri (kupweteka kwamisempha ndi kukokana).

Choyambitsa mawonetsedwe oterowo sichingakhale kuchuluka kwa insulini kokha, amathanso kuphimbidwa m'matenda ena. Ngati zizindikiro zotere zapezeka, munthu sayenera kuyeserera.

Kuopsa mwadzidzidzi

Choyamba, chiwopsezo cha kuchuluka kwa mapuloteni a insulin ndi chiopsezo cha kukula kwa hypoglycemia. Ili ndi dzina la chodabwitsa pamene shuga m'magazi amafika kochepa - osakwana 2.8 mmol / lita imodzi ya magazi.

Kodi chimachitika ndi chiyani pakadali pano? Kuti mumvetsetse njirayi, muyenera kukumbukira momwe insulin imagwirira ntchito. Masewera a glucose akaposa gawo labwinobwino, kapamba amayamba kupanga insulin mwachangu. Komanso, mankhwalawa amatha kuthandizidwa kunja ngati wodwala akudwala matenda ashuga.

Homoni imayendetsa kayendedwe ka glucose ndi njira ya glycolysis, chifukwa chake glucose amayamba kuyamwa kwambiri, ndikuwayika m'malo osungirako mafuta ochulukirapo ndipo amachotsedwa pang'ono mthupi.

Zochita zonsezi ndizolinga zokhazikitsa shuga. Koma glucose amayenera kukhalabe wambiri m'magazi ndi ma cell. Kwa thupi la munthu, ndiye gwero lalikulu lamphamvu.

Ngati munthu ali wathanzi, ndiye kuti chiwindi chake mumkhalidwe wotere uyamba kutulutsa mamolekyulu a glycogen m'magazi kuti zinthu za insulin zimadyeka kwambiri chifukwa cha kuwonongeka kwa wowuma ndipo sizimakhudza shuga. Koma nthawi zina, thupi limakhala kuti lilibe glycogen. Izi zimachitika ndi matenda a shuga amtundu 1 ndi mtundu 2. Zotsatira zake, pamene ndende ya shuga imagwera pansi pa 2.8 mmol / lita, hypoinsulemia imayamba.

Zimathandizanso pakuwoneka:

• Kwa nthawi yayitali popanda chakudya (zoposa maola 5-7),
• Kuchita masewera olimbitsa thupi kwambiri
• Kumwa mowa kwambiri
• Kuperewera kwa zakudya m'thupi
• Kumwa mankhwala ena: aspirin, warfarin, probenecid, allopurinol
• Mankhwala ochepetsa shuga.

Hypoglycemia imayendera limodzi ndi zizindikilo zina zomwe zimapangitsa kuti izi zisamveke mosavuta:

1. Mlingo wamtima ndi kugunda,
2. Kuperewera kwa mgwirizano
3. Kukongola kwa nkhope
4. Kuwonongeka kwamtima
5. Zovuta
6. Kusakwiya
7. Kuchulukitsa thukuta
8. Njala yayikulu
9. Chizungulire ndi mutu.

Chonde dziwani kuti izi zimapangitsa kuti magawo azikhala mwamphamvu komanso azitha kutsika glucose, Zizindikiro zake zimawonekera.

Mivuto yayikulu, pogwira insulin yambiri komanso shuga yochepa, munthu amatha kudwala matenda a hypoglycemic. Iwo omwe akuvutika ndi kuchuluka kwa insulin kwa nthawi yayitali ali pachiwopsezo cha kupangitsa matenda osiyanasiyana a muubongo ndi mtima dongosolo.

Kuzindikira matenda a insulin

Kafukufuku onse amachitika kuti athe kutsata kuchuluka kwa shuga m'magazi ndi kuchuluka kwa insulini ndikuwunika kwa kapamba.

Pali mitundu ingapo ya kusanthula kwa izi:

1. Zitsanzo za magazi posungira shuga
2. Kuyeserera kwa glucose.

Kutengera ndi zotsatira za kusanthula, adotolo azitha kunena zokhudzana ndi kunyalanyaza vutoli ndipo mwina, chifukwa cha mawonekedwe ake.

Zakudya zoyenera

Mfundo zazikuluzikulu za kadyedwe ka hyperinsulinemia zimaphatikizapo kutsatira njira yodyetsera komanso zakudya zopangidwa bwino. Wodwala ayenera kudya osachepera 5-6 patsiku, magawo azikhala ochepa.

Zakudya zausiku ziyenera kusiyidwa kwathunthu, nthawi yomaliza muyenera kudya osachepera maola 3-4 musanagone. Zakudya zazikulu komanso zakudya zomwezo zomwe zimavuta kugaya ziyenera kudyedwa m'mawa.

Mndandanda wanu wazakudya uzikhala ndi:

• Zipatso ndi ndiwo zamasamba (mutha kuphika, kuphika kapena kudya zatsopano),
• Zinthu zamkaka zamafuta ochepa,
• Porridge Yotsika Glycemic Index
• Nkhuku, kalulu, nyama yamwana,
• Mkate wa ndani
• Tiyi yobiriwira, zipatso zopanda shuga,
• Mbale, mtedza, mbewu.

Onetsetsani kuti mumakonda zakumwa zoledzeretsa. Big ayenera kumwa osachepera 1.5 malita a madzi patsiku.

Muyenera kuchepetsa kudya mabulosi, maswiti, chokoleti, ufa, zinthu zomalizidwa, mkate kuchokera ku ufa wapamwamba kwambiri. Ndikwabwino kusadya nyama zophatikizika ndi soseji. Mwa zipatso ndi ndiwo zamasamba simungadye mbatata zambiri, mphesa, mavwende, chivwende.

Katunduyo amathandizira kukonza magayidwe ammimba, endocrine ndi mtima system. Cholinga chake ndikuchotsa kuchuluka kwa mafuta ochulukirapo. Munthu yemwe ali ndi insulin yayikulu amawonetsedwa katundu wolemera, masewera olemera ayenera kuthetsedwa kwathunthu. Malire a katundu wololeza kwa wodwala amayenera kutsimikiziridwa payekha ndi dokotala.

Kumwa mankhwala

Zochita zamankhwala zimapangidwira kuti zibwezeretse magwiridwe antchito a kapamba ndi kuwongolera kaphatikizidwe ka insulin. Zomwe zimagwira ntchito mwa mankhwalawa zimathandizanso kukana insulini, kubwezeretsa yankho lachilendo pancreatic poyankha kuchuluka kwa glucose, kuchepetsa kuchuluka kwa shuga m'magazi, njala yochepa ndikuthandizira kuchepa.

Mankhwala omwe amagwiritsidwa ntchito kwambiri pazolinga izi ndi awa:

Simungapite ku pharmacy mosaganizira kuti mugule mankhwala kuti muchepetse insulin popanda mayeso oyamba. Ambiri aiwo ali ndi zotsutsana zingapo komanso zoyipa zomwe zingakhudze thupi lanu mosasamala.

Kumwa mankhwala kumakhala ndi zotsatira zoyenera pokhapokha, panthawi yomweyo, zakudya zoyenera komanso zolimbitsa thupi zimathandizidwa. Kungomwa mankhwala ndi mapiritsi kungakhale kopanda ntchito, chifukwa zotsatira zake sizipangidwa kudzera mwa iwo, mankhwalawa, ndi othandizira.

Mankhwala achikhalidwe

Njira zamakhalidwe azikhalidwe zimathandizira kubwezeretsa kuchuluka kwa insulin. Ndikofunika kukumbukira kuti ndizosatheka kuchiritsa hyperinsulinemia kokha. Musanagwiritse ntchito njira zirizonse zotsatirazi, pitani kuchipatala.

Pofuna kuthana ndi insulin yambiri, mutha kugwiritsa ntchito:

1. Madzi a Beetroot. Aledzera kanayi pa tsiku, 60-100 ml asanadye.
2. Yaiwisi wa mbatata. Imwani kawiri patsiku maola angapo musanadye. Mlingo umodzi - 100 ml.
3. Sauerkraut madzi. Pambuyo m'mawa, chakudya chamasana ndi chamadzulo muyenera kumwa 30 ml.
4. Madzi ochokera kaloti. Pambuyo pogona komanso musanagone, 50 ml.
5. Buckwheat ndi kefir. Idyani pamimba yopanda kanthu. Kukonzekera: pogaya buckwheat, kutsanulira 50 magalamu osakanizidwa osakaniza usiku ndi kapu ya kefir. Pafupifupi ola limodzi musanadye chakudya cham'mawa, imwani supuni ziwiri za malonda. Njira yovomerezeka ndi milungu iwiri.
6. Chinyengo cha Lavrushka. Masamba 6 owuma a laurel amathiridwa mu kapu yamadzi otentha ndikuthiridwa kwa maola 24, atatsimikizira. Muyenera kumwa chikho 1/4 pa ola limodzi musanadye. Maphunzirowa ndi milungu iwiri.

Mutalandira chithandizo chilichonse cha ndalamazi, muyenera kuyesedwa ndi dokotala komanso kuperekanso magazi kuti akuwunikeni. Musaiwale kuphatikiza njira zachikhalidwe zamankhwala ndi zamankhwala. Tsatirani zakudya zabwino komanso masewera olimbitsa thupi momwe mungathere.

Njira zopewera

Kuti muwonetsetse kuti insulini yopanga imasungidwa moyenera ndipo kuchuluka kwa mahomoni sikupitirira malire, ndikofunikira kutsatira malamulo awa:

Ngati mukuwona zizindikiro zakusintha kwa ma hormone - Lumikizanani ndi katswiri kuti amupimphe. Dokotala yemwe mumafuna ndi wa endocrinologist.

1. Pitani kumapeto kwa chithandizo chamankhwala,
2. Pewani mantha akulu
3. Osachulukitsa ndi zolimbitsa thupi. Sankhani masewera monga kusambira, kulimbitsa thupi ndi kuyendetsa njinga,
4. Siyani zizolowezi zoipa monga kusuta, kumwa kwambiri,
5. Tsatirani zakudya zapadera
6. Khalani ndi nthawi yokwanira panja
7. Osaswa boma la tsikulo, kugona osachepera maola 8.

Mwambiri, khalani ndi moyo wathanzi, izi zikuthandizani kupewa osati zamwambapa zokha, komanso matenda ena ambiri.

Zizindikiro za Hyperinsulinemia

Kuopsa kwa hyperinsulmia ndikuti matenda a pathology nthawi zambiri amakhala asymptomatic. Popeza munthuyo samadzimva kuti alibe chidwi, safuna thandizo kwa katswiri, pomwe matenda akupitilizabe kupitiliza kuyenda bwino. Komabe, nthawi zina, zizindikiro za mahomoni owonjezera zimatchulidwa.

Odwala ambiri amadandaula za kuphwanya koteroko:

• kufooka, kufooka wamba komanso kugwira ntchito bwino,
• kulemera msanga
• njala yosalekeza
• kuwonongeka kwa khungu kusintha,
• thukuta kwambiri (thukuta lamphamvu lidzawonedwa ngakhale ndikuchita zolimbitsa thupi pang'ono),
• kukhumudwa (mwakuthupi komanso mwathupi),
• kusokonezeka kwa kukumbukira
• kuyang'anitsitsa ndende ndikuyang'ana m'malo.

Insulin yowonjezera nthawi zambiri imayambitsa kuwonongeka pakuyenda kwa ziwiya zazing'ono komanso ma capillaries, chifukwa chomwe wodwalayo amakulitsa matenda oopsa. Pakakhala chithandizo chokwanira, kulephera kwa magazi kumatha kubweretsa zotsatirazi:

• kupezeka kwa mavuto kugona, mpaka kukula.
• kutsegula kwa gwero la sebaceous, limodzi ndi kuchuluka kwa sebum,
• kuwonongeka kwaimpso,
• zigawenga za m'munsi.

Monga momwe zamankhwala zimasonyezera, azimayi ambiri amazindikira msanga kuchuluka kwa insulini m'magazi, popeza zotere zimayenda limodzi ndi kunenepa kwambiri, kuwonongeka pamlingo wamisomali ndi tsitsi.

Momwe mungabwezeretsere zomwe zili mu maholide kukhala zabwinobwino

Matenda a matenda a insulin amatha kupezeka pokhapokha ngati akutsatira malangizo onse azachipatala. Nthawi zambiri, chithandizo chamankhwala ndi kusintha kwa mahomoni zimachitika mothandizidwa ndi mankhwala. Koma ndikofunikira kumvetsetsa kuti ndizotheka kupereka mankhwalawa molondola pokhapokha ngati mukufufuza mozama.

Nthawi zambiri, kugwiritsa ntchito mankhwala osokoneza bongo a hyperinsulimia kumaphatikizapo kugwiritsa ntchito mankhwala omwe ali m'magulu otsatirawa a pharmacological:

• hypotonic mankhwala. Gawoli limaphatikizapo othandizira calcium ndi ACE inhibitors. Mankhwala oterowo samangoleketsa mapangidwe a insulin, komanso kupewa ngozi ya kugunda kwa mtima ndi sitiroko.
• kuphatikiza mankhwala omwe amakhudza kagayidwe kachakudya,
• serotonin zoletsa. Muli ma enzymes osweka a lipid.

Muyenera kumvetsetsa kuti mutha kugwiritsa ntchito mankhwala okhawo omwe dokotala amakupatsani, mwina vutolo limangokulirakulira.

Zakudya za insulin yowonjezera

Ngati kuchuluka kwa mahomoni sikumagwa mukamamwa mankhwala kapena kumachepera mosakwanira, izi zitha kukhala chifukwa cha zakudya zopanda pake komanso zopanda thanzi. Zakudya ndi insulin yowonjezereka ndi gawo lofunikira kwambiri la chithandizo. Ngati simutsatira, mankhwalawa amangokuthandizani kwakanthawi, pambuyo pake kukhathamiritsa kwa mahomoni m'mwazi kumawonjezereka.

Zakudya zopatsa thanzi ndi insulin yowonjezereka imafuna kutsatira malamulo awa:

• wodwalayo ayenera kuonetsetsa kuti chakudyacho chili ndizakudya zochepa zokhala ndi shuga momwe ndingathere. Zitha m'malo mwa ma marshmallows, maralade otsika, calorie marammade, marshmallows,
• muyenera kuyang'anira kudya zakudya zamafuta. Sizikupanga nzeru kuwachotsa kwathunthu kuzakudya, koma muyenera kuwerengera moyenera zakumwa zawo patsikulo. Mafuta angati amaloledwa kudya ndipo nthawi yanji, dokotala amauza wodwalayo, poganizira zomwe zimachitika mthupi,
• imafunika kuchepetsa kudya kwamchere kwamchere. Izi sizimaphatikizapo maapulogalamu okha, komanso zakudya zamzitini, soseji, nyama yozizira, nyama zosuta, tchipisi ndi othandizira,
• mowa sayenera kupezeka m'zakudya,
• Zinthu zonse zamkaka zopaka ndizovomerezeka kuti zizigwiritsidwa ntchito, koma ziyenera kukhala ndi mafuta ochepa,
• Amaloledwa kudya nyama yopanda mafuta komanso nsomba zamafuta ochepa. Komanso, odwala omwe ali ndi insulin yambiri amatha kupindula ndi nkhuku zatsopano ndi mazira a zinziri,
• kuchokera ku zipatso ndi ndiwo zamasamba mungathe kudya chilichonse. Chachikulu ndikuti masamba ndiwowophika. Zipatso, maapulo ndi mapeyala, komanso mavwende, ndizothandiza kwambiri.
• kumwa osachepera 2 malita a madzi osankhidwa tsiku lonse.

Mukuyenera kumvetsetsa kuti kudya kokha sikungathandize kuti zotsatira zake zitheke. Zotsatira zabwino pamilandu iyi ndizotheka pokhapokha chifukwa chowonjezereka cha mahomoni chagona m'zakudya zopanda malire kapena zovuta za zinthu zakunja. Muzochitika zina zonse, chithandizo chovuta komanso chovuta kwambiri chidzafunika.

Pomaliza

Insulin yokwera m'magazi ndimwambo wamba. Komanso, zofanana zimatha kuonedwa ndi shuga wowonjezera komanso wabwinobwino. Zinthu zosiyanasiyana zimatha kupangitsa kuti mahomoni azigwiritsa ntchito kwambiri: pathologies amkati, zinthu zakunja, kukhalapo kwa zizolowezi zoyipa. Mulimonse momwe zingakhalire, ndi dokotala yekha yemwe angayang'anire chithunzi cha matenda ndikupereka mankhwala oyenera;

Madzi a insulin

Kuchepetsa ndi kuchuluka kwa insulini m'magazi - izi zikutanthauza chiyani, zikuwonetsa bwanji? Chifukwa chiyani insulin imakwera? Madotolo awona kuti malire a zomwe zimachitika mu ma horoni amayambira 3 mpaka -25 μU / ml. Chifukwa chake, chizolowezi cha insulin m'mwazi wa akazi ndi abambo chimafanana - kuyambira 3 mpaka 25 μU / ml. Muyezo wa insulin mwa ana ndi achinyamata kuyambira 3 mpaka 20 μU / ml.

Chizindikiro choyenera, koma chachikulu kuposa chizolowezi kwa akazi, chimatha kukhala mwa amayi apakati - 3 mpaka 27 mcU / ml. Ambiri a insulini amatha kukhala okalamba - 6- 35 mkU / ml. Ngati Zizindikiro zimasinthasintha pamitundu iyi - munthuyo amakhala wathanzi. Mankhwala ochepa a insulin amawonekera mu mtundu 1 wa shuga. Insulin imakwezedwa m'mitundu yachiwiri ya shuga.

Zimayambitsa kuchuluka kwa insulin m'mwazi

Kulemera kwambiri kwa insulin nthawi zambiri kumagwirizanitsidwa ndi zakudya zamafuta. Hormone yowonjezera imatha kuchitika chifukwa cha njala, kuchita masewera olimbitsa thupi mopitirira muyeso, kumwa mankhwala ena, zinthu zovuta. Kuti mudziwe kuchuluka kwa mahomoni, muyenera kupereka magazi kuchokera m'mitsempha.

Amadziwika kuti insulin 2 patatha chakudya itakwera kwambiri, chifukwa chake, kuti adziwe kuchuluka kwa insulini, nyemba iyenera kumwedwa pamimba yopanda kanthu. Pa kusanthula, magazi amatengedwa kuchokera m'mitsempha kawiri:

• nthawi yoyamba - pamimba yopanda kanthu
• Kachiwiri - patatha maola awiri wodwala atamwa gawo la shuga.

Kafukufuku wotereyu akuwonetsa kugwira ntchito kwa kapamba. Kutengera zotsatira za kusanthula, ndizotheka kukhazikitsa mtundu wa matenda ashuga. Si chinsinsi kuti matenda osiyanasiyana amatha kukhala omwe amayambitsa kuchuluka kwa mahomoni. Chifukwa chake, kwa amayi, insulin yayikulu m'magazi imatha kulankhula zambiri za ziwalo zina, mwachitsanzo, chiwindi, kunenepa kwambiri, matenda a Cushing's ovary polycystic ovary. Insulin yayikulu m'magazi ikhoza kukhala chisonyezo cha acromegaly, zotupa mu kapamba kapena adrenal glands, zovuta zama psychoemotional, kupsinjika kosalekeza, komanso mayiko okhumudwitsa. Kuchuluka kwa mahomoni m'magazi kumatha kuonedwa ndi mankhwala osokoneza bongo omwe amaperekedwa.

Odwala ambiri omwe adamva koyamba za kuchuluka kwa insulin ali ndi chidwi ndi funso la hyperinsulinemia. Kodi ndi matenda ashuga kapena amangoyambitsa matenda? Mu mwana, kuchuluka kwa insulini yokhala ndi shuga wabwinobwino kumawonetsa mtundu wachiwiri wa matenda ashuga. Ngati insulini imakwezedwa komanso kuchuluka kwa glucose ndikwabwinobwino, izi zitha kuwonetsa kuchepa kwa kupanga kwa glucagon kapena zotupa za pancreatic.

Zizindikiro zakukula kwa insulin

Zizindikiro ziti zomwe ziyenera kumuchenjeza munthu, makamaka iwo onenepa kwambiri, kuti asaphonye kukula kwa mtundu wachiwiri wa matenda ashuga, chifukwa chakuti chizindikiro cha insulin chadutsa:

• kutopa kosalekeza, thukuta kwambiri,
• kupuma pang'ono, ngakhale kuchita zolimbitsa thupi pang'ono,
• kupweteka kwa minofu, kukokana kwakanthawi m'miyendo,
• kusowa satiety,
• Khungu loyera, machiritso a bala.

Zotsatira za kuchuluka kwa insulin m'mwazi

Kuchuluka kwa insulini m'thupi kumabweretsa mavuto:

1. amachepetsa shuga
2. kumabweretsa kuwoneka kolemera kwambiri, kunenepa kwambiri - chifukwa cha insulini yayikulu, kuchuluka kwa mafuta kumachitika,
3. kuchuluka kwa insulin kumapangitsa kukula kwa maselo osakhazikika, omwe pambuyo pake amadzayamba zotupa zopweteka,
4. Kusowa kwa mphamvu kumabweretsa kutopa kofulumira, kukwiya, machitidwe amanjenje, kupsa mtima,
5. capillaries, eyeness, impso akuvutika, atherosulinosis akuba,
6. pang'onopang'ono, mabala ochiritsidwa bwino, zizindikiro za phazi la matenda ashuga,
7. Amachepetsa mphamvu yamafupa - mafupa amakhala brittle, brittle,
8. khungu, mafuta owonda, ziphuphu zimawonekera.

Hypertension ndi insulin yowonjezera nthawi zambiri imalumikizana. Matenda oopsa amathandizira kukulitsa zotsatira zoyipa mwanjira yamatenda a mtima, stroko. Zotsatira za kuchuluka kwa insulin zimasokoneza ntchito ya mtima wonse.

Mankhwala

Nthawi zambiri, 70% ya chakudya chamafuta amapita kuzosowa kwa maselo amthupi, 30% amasungidwa kosungirako. Koma ngati thupi likudwala kuchuluka kwa insulin, ndiye kuti 30% yokha ya mafuta omwe amagwiritsidwa ntchito ndi maselo, 70% amapanga mapangidwe a minofu ya adipose. Maselo amayimitsa zolandirazo, kusiya kuyankha mahomoni, motero glucose amayamba kudziunjikira m'magazi - mtundu 2 wa shuga wosadalira insulin umayamba. Kuwonjezeka kwa shuga m'magazi kumayambitsa kusowa kwamphamvu kwa thupi, komwe kumayambitsa kusokonezeka kwakukulu kwa metabolic, nthawi zina kumapha.

Momwe mungachepetse insulin m'magazi kukhala yofanana? Ndi insulin yayikulu, mankhwala amaikidwa kuti achepetse kuchuluka kwa timadzi timeneti mumagazi. Kuthana ndi insulin yambiri m'magazi, mankhwala amafunikira omwe amachepetsa:

• kukakamiza kuchepetsa chiopsezo cha matenda amtima ndi mitsempha (calcium antagonists, ACE inhibitors),
• kagayidwe kazinthu kamene kamasintha shuga, kumachotsa mafuta m'thupi ambiri,
• chilakolako (ma enzymes omwe amawononga mafuta, ma serotonin inhibitors).

Chithandizo chimayesedwa ndi dokotala, atapimidwa ndikuwunika. Ngati insulini imakwezedwa komanso kuchuluka kwa glucose ndikwabwinobwino, izi zitha kuwonetsa kuchepa kwa kupanga kwa glucagon kapena zotupa za pancreatic. Ndi zotupa za pancreatic, chithandizo cha opaleshoni ndikofunikira.

Kugwiritsa ntchito kwambiri insulini yokhala ndi shuga ochepa kumatanthauza kuwopsa kwa matenda a hypoglycemia, chifukwa chake, chipatala sichitha kupewedwa - kokha mu chipatala momwe wodwala angapatsidwe shuga. The pachimake gawo la hyperinsulinism adzafunika makonzedwe a glucagon kapena adrenaline. Njira zakunyumba zochepetsera insulin zimaphatikizapo zakudya komanso masewera olimbitsa thupi.

Zakudya zamagulu

Momwe mungachepetse insulin? Tsatirani zakudya zomwe dokotala wakupatsani. Zakudya zoyenera, zakudya zosankhidwa bwino ndi insulin yowonjezereka imathandizira kuchepetsa mulingo wake, kupewa matenda ashuga kapena zotsatira zake, kusintha kulemera, kuthamanga kwa magazi, ndikuwongolera kuchuluka kwa magazi. Ngati insulini yakwezedwa m'magazi, menyu a sabata amayenera kukonzedwa mosamala, kuphatikiza mafuta a mkaka otsika, chimanga, mafuta ochepa, mazira, masamba osaphika kapena owiritsa. Zipatso zokhala ndi shuga pang'ono ndi vitamini C tikulimbikitsidwa, zomwe zimakhala zambiri maapulo, kiwi, currants, yamatcheri.

Menyu yokhala ndi matenda a shuga a 2 iyenera kukhala yokhazikika, osati kwakanthawi kochepa, chifukwa ndi njira iyi yokha yomwe munthu angakwaniritse zotsatira zabwino zamankhwala. Chakudya chizikhala chopindika, m'malo ochepa, koma chokwanira kukwanira komanso kusowa kwa njala.

Malamulo oyambira pazakudya zabwino, kutsitsa insulin m'magazi. Kufunika:

1. onetsetsani kuchuluka kwa chakudya chamagulu mu chakudya, agawireni bwino tsiku lonse.
2. sinthani kukula kwa ma servings, werengani zopatsa mphamvu zama calorie,
3. kuchepetsa mchere wambiri womwe umangovulaza thupi,
4. zoteteza zakudya, zakudya zamzitini, chakudya chofulumira, zinthu zina zovulaza thupi,
5. kuyiwalako zakumwa zoledzeretsa, mandimu, zakumwa zokhazokha, madzi,
6. gwiritsani ntchito zotsekemera m'malo mwa shuga (masitolo akuluakulu ali ndi ma dipatimenti ya odwala matenda ashuga).

Zochita zolimbitsa thupi

Zochita zolimbitsa thupi ndi matenda a shuga samatsutsana. Kuchita masewera olimbitsa thupi sikulowa m'malo mochizira, koma kumakhala kothandiza kwambiri komanso kumathandiza munthu ngati sagonjetsa matendawa, ndiye kuti akhoza kusintha thanzi lawo ndikukhala labwinobwino. Seti ya masewera olimbitsa thupi apadera iyenera kuvomerezedwa ndi endocrinologist.

Musanayambe kuchita masewera olimbitsa thupi, muyenera kupanga electrocardiogram kuti muwone momwe mtima ulili. Mukamachita masewera olimbitsa thupi, musaiwale kuwerengera zamkati, onetsetsani kuthamanga kwa magazi ndi kuchuluka kwa insulin ndi shuga. Ngati kuthamanga ndi kuthamanga kwa mtima kukachuluka, muyenera kuyimitsa makalasi ndikuwonana ndi dokotala. Masewera olimbitsa thupi:

• onjezani zamphamvu za maselo mpaka mahomoni,
• kusintha magazi, ntchito yamtima,
• kuchepetsa chiopsezo cha zovuta, mutchinjirize ku matenda amtima, minyewa.

Milingo yokwanira ya insulin ndi chizindikiro choyambirira cha matenda a mtima ndi stroko.

Asanakhale kalasi, muyenera kudya masangweji angapo kuti mudziteteze ku hypoglycemia. Ndikulimbikitsanso kuchepetsa kuchuluka kwa mapiritsi a shuga ndi mlingo wa insulin. Ndikofunika kuchita maphunziro oyamba ophunzitsidwa bwino oyang'aniridwa ndi madokotala, kuti mutha kuyang'anira thanzi lanu, kusintha mlingo, mitundu ndi nthawi yayitali yochita masewera olimbitsa thupi.

Zizindikiro za insulin yowonjezera ndizomwe zimayambitsa matenda ashuga amtundu wa 2. Ngati mukukayikira zaumoyo wanu, muyenera kutenga mayeso a insulin ndi glucose kuti mupeze matenda anu ndikuyamba chithandizo chanthawi yake. Mukangoyamba chithandizo, mwayi waukulu woti muchira msanga.