Insulin pomanga thupi ndi gawo lake pakukula kwa minofu
Kulimbitsa Thupi
Insulin si anabolic steroid, koma mahomoni a polypeptide omwe amasonkhana mu kapamba. Kutulutsa kwa insulin kumachitika m'maselo a beta a kapamba.
Choyamba, insulin ndi yomwe imapangitsa kuti pakhale michere mthupi. Mukangodya, zikondamoyo zimabisa insulin, ntchito yake ndikupereka michere m'malo osiyanasiyana, monga chiwindi, minofu, minyewa ya adipose ndi ubongo.
Chifukwa insulin imagwiritsidwa ntchito popanga thupi imagona mu kukula kwa mahomoni. Pano, insulini imagwira ntchito ngati chinthu chomwe chimapangitsa kuti ntchito ya anabolic steroids, insulini ikulidwe ngati chinthu 1, ndipo makamaka kukula kwa mahomoni.
Werengani zambiri za kugwiritsidwa ntchito kwa insulin pomanga thupi pansipa zomwe ndatenga pa mutuwu.
Zotsatira za anabolic
Monga mukudziwa, insulin imathandizira kuyamwa ma amino acid ambiri momwe angathere m'maselo a minofu. Valine ndi leucine amamwa kwambiri, ndi amino acid odziimira. Horm imapangitsanso DNA, mayendedwe a magnesium, potaziyamu phosphate ndi mapuloteni a biosynthesis. Mothandizidwa ndi insulin, kaphatikizidwe wamafuta acids, omwe amalowetsedwa mu minofu ya adipose ndi chiwindi, amalimbikitsidwa. Ndikusowa kwa insulini m'magazi, kukhathamiritsa kwamafuta kumachitika.
Mphamvu ya masabolic
Insulin imathandizira kuyamwa kwa glucose m'maselo a minofu, komanso imayambitsa ma enzyme ena a glycolysis. Insulin imatha kupanga glycogen kwambiri ndi zinthu zina m'mitsempha, komanso amachepetsa kwambiri gluconeogeneis, ndiko kuti, kupanga shuga m'magazi. Pomanga thupi, insulini imagwiritsidwa ntchito pokhapokha, kapena ultrashort.
Insulin yofupikitsa imagwira ntchito motere: pambuyo poti subcutaneous makonzedwe (jekeseni) amayamba kuchita theka la ola. Insulin iyenera kuperekedwa kwa theka la ola musanadye. Kuchuluka kwa insulini kumafika pakatha mphindi 120 pambuyo pa kupangika, ndikumayimitsiratu ntchito yake yoyendera thupi pambuyo maola 6. Mankhwala abwino kwambiri omwe amayesedwa ndi nthawi ndi Actrapid NM ndi Humulin Regul.
Actrapid NM ndi Humulin wokhazikika
Insulin yotsitsika pang'ono imagwira ntchito molingana ndi mfundo iyi: itatha kuilowetsa m'magazi, imayamba kugwira ntchito yake pambuyo pa mphindi 10, ndipo kuyendetsa bwino kwambiri kumachitika pambuyo pa mphindi 120. Insulin ya Ultrafast imayima pambuyo pa maola 3-4. Pambuyo pokhazikitsidwa ndi insulin, ndikofunikira kutenga chakudya nthawi yomweyo, kapena mutatha kunyamula, kulowa mu mahomoni a mayendedwe. Mankhwala abwino kwambiri a ultrashort insulin ndi awiri, awa ndi a Penfill kapena FlexPen.
Penfill ndi FlexPen
Mtengo wa maphunziro a insulin wa masiku makumi asanu ndi limodzi udzakhala pafupifupi ma ruble 3,000 a ku Russia. Chifukwa chake, othamanga omwe amalandira ndalama zochepa amatha kugwiritsa ntchito insulin. Tiyeni tikambirane za zabwino ndi zoyipa zama hormone onyamula.
Ubwino:
- Maphunzirowa ali ndi masiku 60, zomwe zikutanthauza kuti nthawi yochepa. Ubwino wa mankhwalawa uli wonse pamlingo wapamwamba. Mwayi wogula zabodza ndi 1% poyerekeza ndi anabolic steroids. Insulin ikupezeka. Itha kugulidwa pa mankhwala aliwonse popanda mankhwala a dokotala. Hormayo imakhala ndi mitengo yambiri ya anabolic. Kuopsa kwa zotsatirapo ndizochepa, bola ngati maphunzirowa atapangidwa moyenera. Kumapeto kwa maphunzirowa, chithandizo chamankhwala chosinthira sizofunikira, popeza insulini imasiya zotsatirapo zake. Kubwezeretsa kumapeto kwa maphunzirowa ndikocheperako. Simungagwiritse ntchito nokha, koma ndi ma peptides ena ndi ma anabolic steroids. Palibe mphamvu ya androgenic pa thupi la munthu. Insulin sikuvulaza chiwindi ndi impso, komanso sizikhala ndi poizoni. Sizimayambitsa mavuto a potency pambuyo pa maphunzirowa.
Zoyipa:
- Glucose wotsika m'thupi (pansi pa 3.3 mmol / L). Adipose minofu mkati maphunziro. Mitundu yovuta ya mankhwalawa.
Monga mukuwonera, insulini imakhala ndi Ubwino wopindulitsa katatu kuposa zovuta. Izi zikutanthauza kuti insulini ndi imodzi mwamankhwala abwino kwambiri a pharmacological.
Zotsatira zoyipa za insulin
Choyipa choyamba komanso chofunikira kwambiri ndi hypoglycemia, ndiko kuti, shuga wamagazi ochepa. Hypoglycemia imadziwika motere: nthambi ndi miyendo zimayamba kugwedezeka, kusiya kuzindikira, ndikumvetsetsa zomwe zikuchitika mozungulira, ndizotulutsa thukuta kwambiri.
Mlingo wochepetsedwa wa glucose umaphatikizidwanso ndi kuchepa kwa mgwirizano ndi malingaliro, kumverera kwamphamvu kwa njala. Kusweka mtima kumayamba kuchuluka. Zonsezi pamwambapa ndi zizindikiro za hypoglycemia. Ndikofunikira kudziwa izi: ngati mungazindikire zodziwika za kuperewera kwa shuga, ndiye kuti mukufunikira kuti mubwezeretsenso thupi ndi zotsekemera kuti magazi abwinobwino akhale m'magazi.
Zotsatira zoyotsatira, koma zosafunikira kwenikweni, ndikuluma ndi kuwawa pamalo a jekeseni. Thupi la aller ndi losowa, koma ndilofunika kwambiri. Ngati mumamwa insulin nthawi yayitali, ndiye kuti kutulutsa kwanu insulin komweko kumachepetsedwa kwambiri. N`zothekanso chifukwa cha bongo wa insulin.
Tsopano tikudziwa kuti insulini ndi iti ndipo ndi iti yomwe ili yoyenera kwa ife. Ntchito yotsatira ndikupenda molondola njira ya insulin masiku 30-60. Ndikofunikira kwambiri kuti musapite kwa miyezi yopitilira iwiri kuti thupi likhale ndi chinsinsi chake. Ngati mutsatira malangizowo molondola, ndiye kuti mukapeza insulini imodzi mutha kufikira ma kilogalamu 10 a minofu yopendekera.
Ndikofunika kwambiri kuti nthawi yomweyo muyambe ndi milingo yaying'ono mpaka ma unit awiri modumphira, ndikuwonjezera pang'onopang'ono kwa magawo 20. Izi ndizofunikira kuti poyambirira onani momwe thupi limatengera insulini. Ndikukhumudwitsidwa kwambiri kugulitsa mayunitsi opitilira 20 patsiku.
Musanagwiritse ntchito mahomoni oyendera, muyenera kuyang'anira zinthu ziwiri:
Yambani ndi mlingo wocheperako ndikuwonjezera pang'onopang'ono mpaka mufika 20. Sizoletsedwa kusintha mwadzidzidzi kuchoka pa 2x kupita ku 6, kapena 10 mpaka 20! Kusunthira lakuthwa kumatha kubweretsa zotsatira zoyipa mthupi lanu.
Malangizo! Musapitirire magawo makumi awiri. Ndani sakanalimbikitsa kuti atenge pafupifupi magawo 50 - musawamvere, chifukwa thupi lililonse limatenga insulin mosiyanasiyana (kwa wina, magawo 20 amawoneka kuti ndi ochuluka).
Kukula kwa kudya kwa insulin kungakhale kosiyana (tsiku lililonse, kapena tsiku lililonse, kamodzi patsiku, kapena kupitilira apo).
Ngati mumayendayenda tsiku lililonse komanso kangapo, ndiye kuti maphunzirowa atha kuchepetsedwa. Ngati mungayende tsiku lina lililonse, ndiye kuti masiku 60 ndiokwanira. Kubaya insulini kumalimbikitsidwa pokhapokha ngati mutaphunzitsidwa mphamvu, kenako ndikudya chakudya chama protein ndi zakudya zazitali zamatumbo.
Ndikofunikira kumangoyamwa mutangomaliza maphunziro, popeza mahomoni onyamula, monga tafotokozera kale, ali ndi mphamvu yotsutsa-catabolic. Imabweza m'mbuyo ntchito ya catabolism, yomwe imayambitsidwa ndi kuchita masewera olimbitsa thupi kwambiri.
Ndikofunika kudziwa kuti kugwiritsa ntchito insulin pambuyo poti mugwiritse ntchito bwino kumakhala ndiubwino wina: mukabweretsa thupi pafupifupi hypoglycemia, yomwe imayambitsidwa ndi kuyambitsa kwa insulin, izi zimakhudzanso kuchepa kwachilengedwe kwa shuga wamagazi.
Pambuyo pakuphunzitsidwa, mahomoni okula amatulutsidwa mwamphamvu. Nthawi zina masana, kubaya insulini sikulimbikitsidwa. Ngati mumaphunzitsanso katatu pa sabata, ndikupumula masiku 4, ndiye kuti mutha kubaya jakisoni m'mawa musanadye chakudya cham'mawa masiku omwe kulibe ntchito. Pankhaniyi, ndikulimbikitsidwa kwambiri kugwiritsa ntchito insulin (Actapid) yochepa ndikudya theka la ola mutatha kubayidwa. Pamasiku ophunzitsira, pokhapokha mutaphunzitsidwa.
Mapeto ake amadzitsimikizira nokha: ngati mutaba jakisoni yotulutsa tsiku lililonse, ndiye kuti maphunzirowo sayenera kupitirira masiku 30. Ngati tili ndi boma lodekha kapena lachuma, ndiye kuti timatenga masiku 60. Patsiku lophunzitsidwa pambuyo pake, timagwiritsa ntchito insulin (Novorapid) yayikulu kwambiri, komanso masiku opumula - asanadye chakudya cham'mawa, a insulin (Actrapid) apambuyo pake.
Ngati mankhwala "achidule" agwiritsidwa ntchito, ndiye kuti timamwa jakisoni theka la ola musanadye chakudya chachikulu. Ngati tigwiritsa ntchito "ultrashort", ndiye kuti timapanga jakisoni mukangomaliza kudya. Kuti jakisoni ichitike popanda kuyabwa ndi ziwengo, ndipo khungu silikuuma malo a jakisoni, muyenera kuwapanga m'malo osiyanasiyana a thupi. Kuti muwerenge kuchuluka kwa insulin yofunika, ndikofunikira kukumbukira gawo lililonse la insulin - 10 magalamu a chakudya.
Zolakwika zazikulu potenga mahomoni oyendetsa
- Chovuta choyamba - Mlingo waukulu ndi nthawi yolakwika yogwiritsira ntchito. Yambani ndi yaying'ono Mlingo ndipo muwone thupi likuchita. Chovuta chachiwiri ndi jakisoni woperekedwa molakwika. Kubaya ndikofunikira mosazindikira. Chovuta chachitatu ndikugwiritsa ntchito insulin musanaphunzire komanso pogona, zomwe zimaletsedwa mwamphamvu. Chovuta chachinayi ndi chakudya chochepa mutatha kugwiritsa ntchito insulin. Ndikofunikira kudya chakudya cham'mimba ndi mapuloteni momwe ndingathere, chifukwa mahomoni amtunduwu amafalitsa mwachangu ma enzymes ofunikira kwa minofu. Ngati simudzaza thupi ndi chakudya chochuluka, ndiye kuti pali chiopsezo cha hypoglycemia. Choyipa chachisanu ndikugwiritsa ntchito insulin pakuuma. Chowonadi ndi chakuti zakudya zomwe mumadya zimakhala zochepa m'makoko, kapena ayi. Ndiponso, zimayambitsa kutsika kwakukuru m'magazi a magazi, ndipo ziyenera kubwezeretsedwanso ndi china chake. Ndipo lokoma, monga tikudziwa, ndi gwero la chakudya champhamvu chofunikira kwambiri chomwe sichofunikira m'chigawo chowumitsa thupi.
Mndandanda ndi kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito jakisoni
Mulingo woyenera wazakudya zomwe muyenera kudya zimatengera mwachindunji muyezo wa mahoni oyendetsa. Zambiri zomwe zimakhala ndi shuga m'magazi a anthu, malinga ndi athanzi - 3-5 mmol / l. Gawo limodzi la insulini limatsitsa shuga ndi 2.2 mmol / L.
Izi zikutanthauza kuti ngati mutaba jekeseni wa insulin kangapo nthawi, mutha kupeza mosavuta hypoglycemia. Ngati simumadzaza shuga m'magazi munthawi yake, mutha kupeza zotsatira zoyipa. Ndikofunikira kwambiri kudya zakudya zamafuta ambiri pambuyo pa jekeseni.
Insulin ndi mahomoni omwe amapezeka ku dipatimenti ya endocrinology. Pali lingaliro la "mkate mkate", wachidule wa XE. Gulu limodzi la mkate limakhala ndi magalamu 15 a chakudya. Kungoti mkate umodzi umodzi umakweza shuga ndi 2.8 mmol / l. Ngati inu, mosazindikira, kapena pazifukwa zina, mwalowa mayunitsi 10, ndiye kuti muyenera kugwiritsa ntchito 5-7 XE, yomwe malinga ndi chakudya - 60-75. Onani mfundo yoti zakudya zopatsa thanzi zimawonedwa ngati zoyera.
Momwe mungabayitsire insulin
Musanalowe jakisoni wa insulin, muyenera kukhala ndi chilichonse chotsekemera (shuga, uchi, chokoleti, ndi zina). Izi zikutsimikizirani chitetezo chanu ngati mungagwiritse ntchito hypoglycemia. Muyenera kubaya ma hormone ndi syringe yapadera, yomwe imatchedwa syringe ya insulini.
Syringe yotereyi imachepera kwambiri kuposa yokhazikika, ndipo pamakhala kachigawo kakang'ono ka kiyubiki. Syringe yonse ya insulin ikhoza kugwira cube chimodzi, i.e. 1 ml. Pa syringe, magawikawa agawika zidutswa 40. Ndikofunikira kuti musasokoneze syringe yokhazikika ndi syringe ya insulin, apo ayi pamakhala zotsatira zakupha kuchokera ku mankhwala osokoneza bongo ambiri. Muyenera kuchita jakisoni pa ngodya ya madigiri 45.
Musanagwiritse ntchito, sonkhanitsani kuchuluka kwa insulini, tengani ndi dzanja lanu lamanzere ndikupanga khola pakhungu, makamaka pamimba, kenako pang'onopang'ono, kulowa pansi kwa singano, kenako insulini. Gwirani masekondi angapo, ndikuchotsa singano pakhungu. Osamabailidwa malo amodzi nthawi zonse.
Musawope kuti kachilomboka kazalowa mujekeseni. Singano ya insulin yocheperako ndiyochepa kwambiri, kotero kuti matenda sawopseza. Ngati mumayenera kubaya jakisoni wokhazikika, ndiye kuti muyenera kusamba m'manja ndikusambitsa malo omwe jakisoniyo udzapangire ndi mowa.
Kuti tipeze zotsatira zabwino kwambiri kuchokera ku insulin, tifunika kuganizira malamulo atatu akuluakulu:
- Kugwirizana ndi zakudya zamafuta.
- Phunzitsani bwino.
- Pumulani bwino.
Kodi ndizotheka kuphatikiza insulin ndi anabolic steroids?
Mutha kuphatikiza insulin ndi mankhwala ena a pharmacological, monga momwe zilili zomveka. Kuphatikizidwa kwa milandu 99% kumapereka mphamvu kwambiri kuposa insulin solo. Mutha kugwiritsa ntchito insulin ndi mankhwala ena kuyambira pachiyambi mpaka kumapeto kwa mapangidwe a mahoni anyama. Ndikofunika kupitiliza kuthamanga pambuyo pa insulin kwa masiku 14-21, kotero kuti kubwezeretsanso ndikung'ono momwe kungathekere.
Ndikofunikira kudziwa kuti mankhwala aliwonse a pharmacological, kuphatikiza insulin, angotengedwe ndi akatswiri othamanga omwe amakhala mwamphamvu zopanga thupi ndikulipeza. Ngati cholinga chanu ndikungoyang'ana bwino, ndiye kuiwalani za "chemistry", chifukwa izi sizoyenera mwanjira iliyonse. Ngati munthu ali ndi matenda ashuga, ndiye kuti akufunika mlingo wa insulin.
Musaike moyo wanu pachiswe kuti mudzapeze zotsatira zomwe mukufuna posachedwa. Ngati mwatsimikiza kuti mukufuna kuchita nawo masewera olimbitsa thupi ndikukhala othamanga, ndiye kuti pitani kumalo anu achilengedwe, pomwe simulinso ndi minofu yambiri mwanjira yachilengedwe. Pazonse, ndikofunikira kuti mukwaniritse "denga" lanu lachilengedwe, kenako ndikuyamba kupanga "mankhwala".
Kumbukirani kuti musanagwiritse ntchito mankhwala aliwonse a pharmacological, muyenera kupimidwa kwathunthu. Sikoyenera kuchita mayeso aliwonse ngati muli ndi insulin. Ngati mumagwiritsa ntchito insulin ndi chinthu china, ndiye kuti muyenera kuyesa mayeso ofunika musanayambe maphunzirowa, panthawi ndi pambuyo pake. Komanso, musaiwale zamankhwala am'mbuyomu.
Mapeto ake, muyenera kukumbukira malamulo angapo ogwiritsira ntchito insulin, kuti isakhale yovulaza:
- Dziwani thupi lanu, onetsetsani kuti lili mwadongosolo komanso mwakonzeka kugwiritsa ntchito insulin. Yenderani phunzirolo molondola komanso ndiudindo wonse. Onani bwino zakudya ndi mndandanda wophunzitsira kuti muchepetse thupi lanu lonse.
Ngati mwasankha mwanzeru zomwe mukufuna kutulutsa, tikulimbikitsidwa kuti muyambe kukhala ndi insulin kuti muphunzire zomwe zimachitika mthupi lanu, chifukwa zimavuta kumvetsetsa pogwiritsa ntchito mankhwalawa ngati pali zovuta zina mthupi. Ndikofunika kuti musagwiritse ntchito mankhwala omwe mumakonzekera, chifukwa sizikudziwika kuti zingakhudze bwanji thupi lanu.
Zambiri pakugwiritsa ntchito insulin pomanga thupi
Insulin ndi mahomoni enaake omwe amapangidwa ndi zikondamoyo za anthu ndi nyama. Amakhala wokhazikitsa misempha yamagazi. Kuphatikiza apo, zimakhudza kagayidwe kazinthu pafupifupi thupi lonse.
Chenjezo: Kupezeka kwa insulin kunayamba cha mu 1869, pomwe dokotala waku Germany Paul Langerhans anapeza maselo osadziwika omwe amapanga chinthu china. Pambuyo pake, chifukwa cha ntchito ya asayansi am'nyumba komanso akunja, insulin iyenso idapezeka ndipo momwe zimakhudzira kuchuluka kwa shuga m'magazi zinatsimikiziridwa.
Zachidziwikire, palibe amene panthawiyo akanaganiza kuti insulin ingalowe gawo la anabolics yamasewera. Poyamba, amapangidwira odwala omwe ali ndi matenda osokoneza bongo - kuti asadwalidwe ndi kusintha kwa glucose m'thupi. Komabe, othamanga adawona kuti insulini, kuwonjezera pazomwe zikuwonetsedwa, zimathandizira kuwonjezeka kwa glycogen mlingo - gawo lamphamvu la kukula kwa minofu.
Insulin ngati anabolic ya masewera yakhala ikugwiritsidwa ntchito kwa nthawi yayitali. Ndipo pazifukwa ziti:
- imathandizira kaphatikizidwe ka glycogen m'thupi la othamanga, insulin bwino imaphwanya maselo amafuta, koma imapanga mapuloteni ambiri - omanga thupi amangoyenera kugwiritsa ntchito chuma chodabwitsa ichi. Zomwe, zomwe adachita, insulin imachepetsa shuga m'magazi, insulin imathandizira kagayidwe kachakudya mthupi, imalepheretsa njira za oxidation, motero, zimathandizira kuti katswiriyu atuluke msanga.
Zotsatira zake, wothamanga yemwe amamwa insulini nthawi zonse amapanga minofu yambiri pomwe akuwotcha mafuta a thupi. Imachira msanga ndipo imatha kugwira ntchito mwaluso kwambiri. Zotsatira, monga akunenera, zikuwonekeratu.
Zingawonekere, ngati chilichonse ndichabwino kwambiri, nanga bwanji onse omanga thupi padziko lonse lapansi sagwiritsa ntchito mankhwala a insulin? Komabe, monga zimachitika nthawi zonse, zinthu zonse ndizosavuta.
Kusamala Mukamamwa Insulin
Ngozi yayikulu yokhala ndi insulini yochulukirapo yagona mu kutsika kwakuthwa m'magazi a shuga. Izi zimatchedwa hypoglycemia. Zakufa! Pankhaniyi, ngakhale mayunitsi 100 akhoza kukhala muyeso wowopsa - ndiye kuti, syringe yathunthu. Popeza munthuyo si wodwala matenda ashuga, kuchuluka kwa shuga kumatsikira msanga kosavomerezeka - chifukwa, kukomoka kwa hypoglycemic kumatha kuyamba, kenako kufa.
Komabe, pochita, ngakhale ndi magawo 300, monga lamulo, anthu amapulumuka. Zotsatira za mankhwala osokoneza bongo sizimachitika nthawi yomweyo, koma pangani maola ochepa. Itha kukhala kukokana, kuwonongeka koyang'ana, ndi zina zambiri. Panthawi imeneyi, wovulalayo mwiniyo kapena mnzake amatha kuyimba ambulansi kapena kuchita chilichonse. Chifukwa chake, munthu amakhalabe wamoyo.
Ndikofunika kudziwa kuti pomanga thupi, monga lamulo, amagwiritsa ntchito insulin ya omwe amatchedwa osachita pang'ono kapena osakhalitsa. Izi zikutanthauza kuti pambuyo mphindi 15-30 zotsatira zake zimachitika ndikukula mkati mwa maola awiri ndi atatu. Kenako mphamvu ya insulini yayamba kuchepa - ndipo atatha maora asanu ndi limodzi ndi asanu ndi m'modzi simupezeka m'thupi. Chifukwa chake, wothamanga amapanga jakisoni wa insulin pafupifupi theka la ola asanaphunzire.
Pali maphunziro opangidwa mwapadera kuti atenge insulin pazolinga zamasewera. Pali mitundu ingapo ya iwo. Komabe, tanthauzo limakhala loteteza matenda osokoneza bongo komanso kuonetsetsa kuti magazi akupezeka mu inshuwaransi mwachindunji pophunzitsira.
Ndikulimbikitsidwa kuyambitsa maphunziro ndi pafupifupi magawo awiri, ndikuwonjezera pang'onopang'ono mlingo wa mayunitsi awiri, kuyang'ana bwino moyo wanu. Ndikofunikira kuti muphunzire zotsatira zonse za insulin ndi njira yochokera ku hypoglycemia musanayambe maphunziro.
Ndikofunikira! Ponena za nthawi yoyambira, malingaliro amasiyana apa. Ena amalimbikitsa kumwa maminiti 30 mpaka 40 musanaphunzitsidwe, chifukwa ndi nthawi imeneyi yomwe insulin imayamba. Ena atangotha kumene. Kukulitsa izi chifukwa chakuti mutatha kuchita masewera olimbitsa thupi mutatha kudya, potseka zenera la chakudya ndi kupereka shuga m'magazi.
Kutalika kwa maphunzirowa sikuyenera kupitirira miyezi iwiri. Pakukhumudwitsidwa pang'ono, muyenera kusiya kaye maphunzirowo. Ngati ndi kotheka, funsani kwa dokotala.
Zotsatira zoyipa za insulin
Izi sizitanthauza kuti hypoglycemia yokha, yomwe imachitika ndi shuga wokhazikika. Zotsatira zoyipa zimatha kukhazikika payekhapayekha ndipo zimafotokozedwa motere: kufooka konse, pakamwa pouma, kugona, chizungulire, kulakalaka kwambiri, thukuta, kuchuluka kwa chidwi m'magawo osiyanasiyana a thupi, zipsera, mantha.
Ngati zizindikiro zotere zazindikira, wothamanga ayenera kusiya kumwa insulini ndikuonetsetsa kuti adya kapena kumwa china chokoma. Kuphatikiza apo, kutuluka koopsa ndi mikhalidwe ya hypoglycemia kumadzalanso ndi imfa. Omanga matupi olimbitsa thupi amadziwa momwe angatulutsire izi. Kuphatikiza apo, amatha kuyendetsa okha mwanjira yoti akhale wodekha kwambiri kuti azikhala ndi insulin nthawi zonse.
Ubwino ndi kuipa kwa zomanga thupi
Ubwino wa maphunziro a insulin ndi monga:
- kupeza phindu mwachangu, mtengo wotsika mtengo wa maphunzirowa, insulini si mankhwala oletsedwa ndipo amagulitsidwa momasuka ku pharmacy, chiopsezo chothamangira ku fake ndizochepa kwambiri, mosiyana ndi ma steroid omwewo, zotsatira za kubwezeretsanso sizinatchulidwe monga momwe zimakhalira ndi steroid course, mutha kutsagana ndi kulandila steroid insulin, insulini siyimakhudza chiwindi, impso ndipo siziwunjikana monga ma poizoni a poizoni m'thupi lathu.
Zochulukirapo sizochepa, koma ... ndizakufa:
- ndi mankhwala osokoneza bongo, zotsatira zoyipa zimachitika, ngati njira zoyenera sizikutsatiridwa munthawi yake, njira yoyendetsera ndiyovuta kwambiri. Mfundo zolandirira zomwe tafotokozazi siwofotokozera maphunzirowa ndipo sitingakhale njira yakuwongolera kuchitidwe! kuchuluka kwakukulu kwamafuta ndikotheka.
Insulin ya omanga thupi: kodi ndioyenera kugwiritsa ntchito?
Jekeseni wa insulin pomanga thupi wakhala ukugwiritsidwa ntchito kwa nthawi yayitali. Hormone iyi imachepetsa shuga m'magazi, imalimbikitsa kubisalira kwa kukula kwa mahomoni, omwe amachititsa njira zowonjezera za anabolic. Njira yopanga minofu yokhala ndi mankhwalawa yakhala ikudziwika kwa nthawi yayitali, koma imakhala ndi zovuta, chifukwa chake sizigwiritsidwa ntchito kawirikawiri ndi oyamba kumene.
Zotsatira za kutenga insulin
Insulin ndi timadzi tokhala ndi peptide. Ili ndi zovuta:
- kumawonjezera kupezekanso kwamitsempha yama cell kwa glucose, kumapereka zakudya zoyenera ndikuthamanga njira za metabolic, kumachepetsa shuga m'magazi, kumalimbikitsa chinsinsi cha kukula kwa mahomoni, kumalepheretsa njira za catabolic (kuwonongeka kwa glycogen ndi mafuta), kumapangitsa ma enzyme a glycolysis, kutseka neoglucogeneis m'chiwindi, kumathandizira kubwereza kwa DNA ndikuwonjezera kuphatikizika kwa protein , imachulukitsa kuchuluka kwa maselo a ma cell a amino acid.
Insulin ikhoza kukhala yosayenera kwa iwo omwe akufuna kuti ayambe kuwuma ndi kuwonda, komanso iwo omwe akufuna kugwiritsa ntchito mankhwala odana ndi catabolic. Hormoni iyi imaletsa lipolysis ndipo imathandizira kukhala ndi mafuta ochulukirapo m'thupi. Ngati muphatikiza zakudya zomwe mumadya ndi zakudya zowonjezera zopatsa mphamvu, kuphatikiza kwamafuta ena ndizotheka.
Mwambiri, kugwiritsa ntchito insulin pomanga thupi ndi yankho kwa iwo omwe amachita zinthu zambiri zomwe zimachitika pang'onopang'ono. Mlingo woyambirira amawerengedwa kutengera 1 IU pa 5-10 kg ya kulemera kwa thupi. Osewera ena amadya mpaka 2 IU pa kulemera komweko.
Chachilendo cha mankhwalawa ndikuti yankho la insulin lingasiyane. Mlingo wake umasankhidwa payekha kuchokera ku chiwembu chambiri, momwe angagwiritsire ntchito insulini pomanga thupi ndi maphunziridwe ena a mankhwala ayenera kutsimikiziridwa ndi wophunzitsa.
Jakisoni amachitidwa mukangolimbitsa thupi kuti muchepetse shuga. Pambuyo pa mphindi 15, muyenera kumwa chakumwa chokoma kapena kudya china chili ndi shuga. Ola litatha izi, nthawi yakwana yoti idye yokhala ndi protein yayikulu. Nthawi zina insulin imayendetsedwa m'mawa kwambiri, ikangodzuka. Pambuyo mphindi 15, ndiye chakumwa chomwenso chimatha kumwa, ndipo patatha ola limodzi, chakudya cham'mawa chimatengedwa.
Mankhwalawa amapakidwa ndi jakisoni wa insulini pakhungu la pamimba. Ena amayeseza jakisoni m'khucha kapena matalala, koma zimakhala zowawa. The insulin ampoule iyenera kuzirala bwino, ndikulekanitsidwa ndi kutentha kokwezeka, ngati chinthucho chimatengedwa nanu m'chipinda.
Zilonda zimaperekedwa mosapitilira miyezi iwiri, moyenera. Anthu ena amasintha kutalika kwa miyezi inayi. Ndikofunikira kutenga nthawi yayitali yophunzira mogwirizana ndi nthawi ya maphunzirowo kuti kapamba asatayiretu mphamvu yopanga mahomoni pawokha.
Chenjezo: Maphunziro okhala ndi mahomoni amakula ndi thyroxine amatha kuchepetsa kuyamwa kwa insulin. Pankhaniyi, mlingo umachulukitsidwa, koma ndi bwino kuti osewera aliyense azitha kufunsa katswiri.
Chofunika: Kunja, njira yodziwira kuti mankhwalawa agwire ntchito bwino sikuti ili ponseponse. Ochita masewera omwe amapeza kuchuluka kumeneku nthawi zambiri amagwiritsa ntchito shuga m'magazi. Ichi ndi chipangizo chamagetsi pakuyeza shuga.
Imagulidwa ku malo azamankhwala limodzi ndi zingwe zoyesa. Kuyeza kumachitika maminiti 3-4 pambuyo pa insulin, ndipo mphindi 15 pambuyo pake kuti ayesenso zotsatira zake. Ngati misempha ya shuga ikutsikira pazigawo zinayi, zitatu, njira zoteteza ziyenera kutengedwa nthawi yomweyo.
Zotsatira zoyipa
Mlingo wosalondola ukhoza kukhala ndi zotsatira zoyipa. Zotsatira zoyipa za insulin zimawonetsedwa ndikuyambitsa kuchuluka kwake. Kuchuluka kwa timadzi timeneti kumayambitsa hypoglycemia - kuchepa kwakukulu kwa shuga. Ngati chizungulire chikuchitika, thukuta lozizira litulutsa, chisokonezo, Photophobia kapena kufooka kumawoneka, muyenera kudya zakudya zotsekemera nthawi yomweyo.
Langizo: Kugona pambuyo pa jekeseni kungakhale chizindikiro cha hypoglycemia. Ngati Zizindikiro sizitha, ndikofunika kuyimba ambulansi, chifukwa hypoglycemia yokhala ndi zotsatira zakupha ndiyotheka. Maphunziro ataliatali popanda kupuma angayambitse matenda ashuga. Pancreas imachepetsa pang'onopang'ono kuchuluka kwa insulin ngati chilengedwe chabayidwa.
Pamlingo wakuchita kafukufuku wasayansi, zidawululidwa kuti zimakhala za chiwalochi zikusinthanso, chifukwa njirayi ikhoza kusintha. Nthawi yomweyo, palibe upangiri wokwanira kapena wocheperako wokhudzana ndi nthawi yomwe mpikisano wothamanga ukalandira. Chifukwa chake, njirayi imakhala yowopsa nthawi zonse.
Ndemanga za Insulin
Nthawi zambiri ndemanga za insulin pomanga thupi zimalembedwa ndi anthu omwe amakonda kwambiri kupanga thupi. Makina amisempha yokhala ndi mahomoni awa si a iwo omwe akufuna kusintha mofulumira kupita kunyanja. Zimafunika kusankha kosasintha pophunzitsa ndi kudya.
Olembera ambiri amawona phindu lochulukirapo, monga momwe amanenera ndalama zochepa. Mankhwalawa amagulika mu mankhwala, ndipo amatanthauza mankhwala. Komabe, anthu ambiri amati akatswiri ena azachipatala amasangalala kupereka popanda zolemba.
Pali ndemanga kuchokera kwa omwe akulemera ma kilogalamu 10-12 pa insulin. Nthawi yomweyo, ena abwera ndi hypoglycemia, ndipo anena kuti ndikofunika bwanji kumanyamula paketi ya juwisi ndi china chake chotsekemera pofuna kupewa zotsatira zake zoipa mthupi.
Insulin: Yofunika kwambiri kwa womanga thupi
Mutha kulemba zambiri za insulin, mutha kulemba buku lonse. Kalanga, woponderezedwa ndi mkonzi wamkulu, mlembiyu adakakamizidwa kudziphatikiza ku nkhani yayikulu kwambiri. Zachidziwikire, simudzanena mmenemo za zokongola zonse za mankhwalawa, chifukwa chake musaweruze mosamalitsa - zonse ndizoperewera, ndipo chidziwitso changa chimaposa kuchuluka kwa zolemba.
Chofunikira: Insulin idalowa machitidwe olimbitsa thupi osati kale kwambiri, koma, malinga ndi ndemanga zina, adadziyambitsa okha ngati anabolic yopanda tanthauzo. Sindingathe kulembera kuti "mbuli" pa akatswiri ena olemekezeka omwe amawaganizira ma anabulin omwe ali ndi insulin yabwino kwambiri kotero kuti ngakhale ma anabolic steroids pafupi naye amapuma, ndipo ndikufotokozerani lingaliro langa - kwa munthu wamkulu, mahomoni awa si anabolic konse!
Kutengera izi, komanso chiwopsezo chomwe sichingakhale ndiumoyo wokha, komanso moyo pawokha kuchokera ku kugwiritsa ntchito insulin, "gurus" akunja ambiri amalimbikitsa kuti asayanjidwe ndi zida zomanga thupi. Koma inu ndi ine anthu okoma mtima, sitigonjera kutengeka ndi kuchoka ku wina kupita kwina, koma ingoyesani modekha.
Insulin ndi kagwiritsidwe kake ka ntchito
Insulin ndi timadzi tomwe timatulutsa ma cell a pancreatic. Mwamwambo, ndi polypeptide yopanga ma CD awiri a polypeptide: imodzi imakhala ndi ma amino acid 21, yachiwiri ya 30, maunyolo awa amalumikizidwa ndi milatho iwiri yopanda malire.
Ma cell opanga mahormone (mahomoni ambiri, osangopanga insulini) amadziunjikira m'matumba momwe amapangira ma islets of Langerhans. Mwa munthu wamkulu, pali zilumba zotere zamtundu wa 170,000 mpaka 2 miliyoni, koma kuchuluka kwawo sikuposa 1.5% ya kuchuluka kwa kapamba.
Pakati pa maselo a islets pali mitundu isanu ndi umodzi, pafupifupi 75% yaiwo ali m'maselo a b-cell, pomwe, kuphatikiza kwa insulin kumachitika. Njirayi imachitika m'magawo atatu: choyamba, proproinsulin imapangidwa, kenako kachidutswa ka hydrophobic kamatsitsidwa ndikuchokera ndipo proinsulin imatsalira, ndiye kuti vesicle yokhala ndi proinsulin imasamutsidwa kwa zida za Golgi, pomwe chidacho chimachotsedwa pamenepo, ndipo zotsatira zake insulin.
Imayambitsa limagwirira insulin katulutsidwe wa shuga. Zolowera mu ma cell a b, glucose imapangidwa ndipo imathandizira kuwonjezeka kwazinthu za ATP. Adenosine triphosphate, nayenso, amachititsa kukondoweza kwa cell ya cell, yomwe imathandizira kulowetsedwa kwa calcium ion m'magulu a b-cell ndikumasulidwa kwa insulin.
Malangizo: Ziyenera kunenedwa kuti kupanga insulin, kuphatikiza shuga, imatha kulimbikitsidwa ndi mafuta ndi ma amino acid onse. Insulin idasiyanitsidwa mu 1921 ndi wasayansi waku Canada Frederick Benting ndi womthandizira wake Charles Best, patatha zaka ziwiri akufufuza onsewo adalandira Mphotho ya Nobel mu mankhwala chifukwa cha zomwe adapeza, ndipo, ziyenera kunenedwa, osachita pachabe.
Kuyamba kwa mafakitale kupanga mankhwala okhala ndi insulin kunapulumutsa miyoyo ya anthu ambiri, masauzande ambiri. Koma ntchito ndikupanga, ndipo kafukufuku ayenera kuti wapita patsogolo, sizingatheke kuyimitsa njirayi. Kalanga ine, chidziwitso chomwe amapeza chifukwa cha iwo sichimadzitcha kuti chokwanira.
Makina a hypoglycemic zochita za insulin sanaphunzirepo konse. Amakhulupirira kuti (insulin) imalumikizana ndi ma receptor enaake pamaselo a khungu. "Insulin + receptor" yovuta kulowa imalowa mu cell, pomwe insulin imamasulidwa ndikuwonetsa momwe imachitikira. Insulin imayendetsa kayendedwe ka glucose kudzera mu zimagwira ma cell ndikugwiritsa ntchito kwake ndi minofu ndi adipose minofu.
Mothandizidwa ndi insulin, kuphatikiza kwa glycogen kumawonjezera, insulin imalepheretsa kutembenuka kwa amino acid kukhala glucose (chifukwa chake ndikofunikira kwambiri kubaya insulin mukangomaliza maphunziro - mapuloteni omwe amawonongeka pambuyo pake sagwiritsidwa ntchito pazofunikira zamagetsi, monga zimakhalira, koma kupangidwanso kwa minofu ya minofu, koma amene Ndakhala ndikuthawa gawo lowonera, ndiye sindidzadziwa).
Kuphatikiza apo, insulin imathandizira kuperekera ma amino acid ambiri mu cell, komanso mochuluka. Ndipo izi, monga momwe mukumvera, sizingakhale ndi phindu pa kukula kwa (minofu).
Koma ponena za kuthekera kwa insulini kupangitsa kuphatikizika kwa mapuloteni, sizikudziwikiratu kuchuluka kwa kuthekera uku, ndipo ndiyenera kunena, kutchulidwa kokwanira, kunawonetsedwa ndi timadzi timeneka pakungoyesa kamodzi komwe kunali kotheka kukwaniritsa kuchuluka kwa insulin kopitilira 1,000 (!) Times Kupitilira muyeso.
Pa ndende iyi, insulini idayamba bwino kugwira ntchito za insulin ngati kukula, komwe sikudziwika mu vivo. Ndikufuna kuchenjeza anthu omwe akufuna kudzionera okha momwe insulin ingagwiritsire ntchito: kubwereza kuyesayesa koyeserera "kunyumba" kungakhale kotsiriza m'moyo wa woyesa.
Chenjezo: Pofotokozera mwachidule pamwambapa, titha kunena kuti insulini ingalepheretse kuwonongeka kwa minofu ya minofu, yomwe imafuna kubwezeretsanso mphamvu zam'mthupi, komanso kuwonjezera kutulutsa kwa ma amino acid ku cell - ndizomwe zimakopa kwambiri.
Makhalidwe osokoneza bongo omwe amapezeka ndi insulin amaphatikizapo kuthekera kwake kokuthandizira kufotokozera kwa triglycerides mu minofu ya adipose, yomwe imatsogolera pakuwonjezeka kwa gawo la mafuta ochepa. Komabe, ndizotheka kuthana ndi vuto lomalizirali, koma zina pansipa.
Awa ndi mawu otsekemera a shuga.
Nthawi zambiri, kuchuluka kwa shuga m'magazi kumasinthasintha pakati pa 70-110 mg / dl, kutsika pansi pa 70 mg / dl kumawerengedwa kuti ndi mtundu wa hypoglycemic, kupitilira malire kumawoneka ngati kwabwinobwino mkati mwa maola 2-3 mutatha kudya - pambuyo pa nthawi imeneyi kuchuluka kwa glucose mu magazi abwerere mwakale.
Chofunikira! Ngati mulingo wa glucose m'magazi mutatha kudya upambana ndi gawo la 180 mg / dl, ndiye kuti matendawa amatengedwa ngati hyperglycemic.Eya, ngati gawo lomwe tatchulali mwa munthu m'modzi mutatha kudya madzi amchere kuposa shuga 200 mg / dl, osatinso kamodzi, koma pakayesedwa kawiri, ndiye kuti matendawa ndi oyenera.
Pali mitundu iwiri ya matenda a shuga - odalira insulin komanso osadalira insulin. Matenda a shuga omwe amadalira insulini (mtundu 1 wa shuga) amakhala pafupifupi 30% ya matenda onse a shuga (malinga ndi dipatimenti ya zaumoyo ku US, palibe opitilira 10%, koma a United States, ngakhale sizokayikitsa kuti nzika zadziko lino ndizosiyana kwambiri ndi ena onse okhala padziko Lapansi).
Zimachitika chifukwa cha kuphwanya chitetezo m'thupi la munthu: kupangika kwa ma antibodies kwa ma isulin a Langerhans kumachitika, komwe kumapangitsa kutsika kwa kuchuluka kwa ma cell a b ndipo motero, kutsika kwa kuchuluka kwa insulin.
Matenda a shuga omwe amadalira insulin nthawi zambiri amapezeka ubwana kapena unyamata (kuchuluka kwa matenda ndi zaka 14), kapena akuluakulu (osowa kwambiri) motsogozedwa ndi zovuta, zoopsa, kuchotsa kwathunthu kapamba, kapena ngati matenda omwe amatsagana ndi acromegaly.
Zomwe zimachitika kuti matenda ashuga omwe amadalira insulini sanaphunziridwe bwino; akukhulupirira kuti munthu ayenera kupangidwadi kuti akhale ndi chibadwa chodwala. Kutembenukira ku mtundu wa 2 wa matenda ashuga (osadalira insulini), ziyenera kunenedwa kuti kuchuluka kwa ma cell a cell (komanso ma insulin receptors ndi awo) zimatengera, mwa zina, pamlingo wa mahomoni m'magazi.
Ngati mulingo uwu ukuwonjezeka, ndiye kuti kuchuluka kwa ma cell omwe amafananirako amachepetsa, i.e. M'malo mwake, pali kuchepa kwa chidwi cha khungu kupita ku mahomoni ochulukitsitsa m'magazi. Ndipo mosemphanitsa. Matenda a 2 a mtundu wa shuga amapezeka mwa akulu okha ndipo mwa iwo okha - azaka zapakatikati (zaka 30 mpaka 40) ndipo ngakhale pambuyo pake.
Monga lamulo, awa ndi anthu onenepa kwambiri, ngakhale kuti pali zosiyana. Ndiponso, monga lamulo, mulingo wopanga insulin ya insulin mwa anthu oterewa umadutsa malire kapena ngakhale kupitirira pamenepo. Ndiye vuto ndi chiyani? Ndipo chinthucho chikuchepetsa maselo a insulini pamselo.
Kudya kwambiri kwa mafuta ndi chakudya chamagetsi kumapangitsa kuti insulin iwonjezeke m'magazi, zomwe, zimayambitsa kuchepa, kuphatikizapo kusasinthika, kwa kuchuluka kwa zolandilira pamwambapa. Si onse, komabe, anthu onenepa kwambiri amakhala ndi matenda osokoneza bongo omwe amadalira insulin.
Pafupifupi theka la odwala onse amalilandira "monga cholowa", i.e. ili ndi tsogolo la matendawa. Chifukwa chiyani mwadzidzidzi tinayamba kukambirana za matenda ashuga? Ndipo chifukwa chake. Amakhulupirira kuti kugwiritsa ntchito insulin ndi munthu wathanzi kumatha kubweretsa matendawa.
Malangizo! Monga matenda a shuga omwe amadalira insulin (mtundu 1), zonse zikuwoneka zomveka - kuphatikiza kwa mankhwala a insulin mthupi lathanzi sikuwopseza kuti asanduke matenda. Chinanso ndi matenda osokoneza bongo omwe amadalira insulin.
Makina owonjezera a insulin pakapita nthawi yayitali amatha, monga kumwa kwambiri mafuta ndi mafuta, kumapangitsa kutsika kosasintha kwa kuchuluka kwa zolandirira insulin padziko lapansi, motero kuchepa kwamphamvu kwa maselo kugwiritsa ntchito shuga, i.e. Mtundu wa matenda ashuga a mtundu wa 2. M'malingaliro, zonse zikuwoneka kuti zili chomwecho.
Mdziko lenileni, ndizokayikitsa kuti padzakhala munthu wosachepera (ndikutanthauza munthu wathanzi kwathunthu, kuphatikiza wamaganizidwe) yemwe angabaye insulin chifukwa cha zamasewera osakwanitsa zaka. Nthawi yochepera zaka ziwiri kapena zitatu sizingachitike kuti matenda asunthe.
Pali, komabe, gulu loika pachiwopsezo, limaphatikizira anthu omwe ali ndi chibadwa chokhala ndi matenda a shuga. Anthu awa sayenera kuyesa insulin konse. Ndipo funso lina laling'onoting'ono, limakhudzana ndi mahomoni okula komanso momwe zimakhudzira kapangidwe ka insulin.
Chenjezo: Boma la hypoglycemic limalimbikitsa kukulira kwazinsinsi za kukula kwa mahomoni, omwe, monga adrenaline ndi norepinephrine, amatha kuletsa kupanga insulin. Komabe, palibe umboni kuti kugwiritsidwa ntchito pafupipafupi kwa mitundu yayikulu ya kukula kwa mahomoni kungayambitse kuchepa kwa chiwerengero cha ma b-cell ndipo, chifukwa chake, chitukuko cha matenda ashuga amtundu woyamba.
Ngati izi zili choncho, ndiye kuti zotheka zotere sizingavomerezeke. Ndipo tinenanso mwachidule izi pamwambapa: kugwiritsa ntchito insulin ndi anthu athanzi omwe alibe chibadwa chakutsogolo kwa matenda ashuga sikumabweretsa kukula kwa matendawo mwa iwo. Machitidwe a jakisoni Chabwino, pamapeto pake - ndi lingaliro la malingaliro lomwe tamaliza ndikuzindikira kuti insulini ingathe kuthandiza omanga thupi, ngati "jerk" wamba komanso katswiri, panjira yake yovuta.
Nthawi yakwana yoti mudziwe izi. Ndikunena nthawi yomweyo: jakisoni wodziimira payekha sioteteza munthu woyamba kumene. Sikuli kwa inu kuti mupeze majakisoni: mutha kukhala ndi testosterone yomweyo momwe mutha kugwirizira syringe, ndipo komabe - palibe chowopsa m'moyo. Insulin ndi nkhani ina, kulakwitsa mumtundu wake kumatha kukutumizani mosavuta padziko lapansi.
Chofunikira: Chilimbikitso chimodzi ndikuti imfa siyikhala yopweteka. Chabwino, chowopitsa - ndipo ndizokwanira. Ngati mukukwanira ndi zomwe zimadziwika kuti, ndiye kuti simuyenera kuchita mantha. Muyenera kungokumbukira malamulo ochepa osavuta ndikuwatsata ndi chisamaliro chonse.
Nthawi zambiri amalimbikitsidwa kuti ayambe kumwa insulin ndi 4 IU (mayunitsi apadziko lonse lapansi, awa ndi magawo anayi pamiyeso ya insulini yapadera, amaletsedwa kugwiritsa ntchito ma syringe ena!). Komabe, sindikudziwa za vuto la kukomoka kwa hypoglycemic komwe kumachitika chifukwa cha makonzedwe ndi kuchuluka kwakukulu, motero ndikupangira kuti muthe kuyamba nawo.
Tidaganiza za mlingo woyambirira, ndiye kuti tifunika kuuchulukitsa tsiku ndi tsiku, m'magawo ang'onoang'ono a 4 IU, mpaka pachitika chimodzi mwazinthu ziwiri: mumafika pa 20 IU chizindikiro kapena, mwina, mudzamva hypoglycemia yolimba pambuyo pamunsi mlingo.
Kugwiritsa ntchito mlingo wapamwamba sikuli koyenera, ndipo 20 IU imaganiziridwa kuti ndi yotetezeka, chifukwa mavuto ambiri amayamba ndi kuchuluka kwa dongosolo la 35-45 IU. Makamaka anthu osamala amatha kupangira jakisoni awiri patsiku, kugawa nthawi ndi maola 7-8, voliyumu iliyonse yomwe imaposa 12 IU.
Ndikumva chisoni chifukwa cha anthu omwe amakonda mitengo yobiriwira ya chiphunzitso chouma ndikubwerezanso: chopindulitsa kwambiri ndikugwiritsa ntchito insulin mukangolimbitsa thupi kapena, mwinanso, pafupifupi mphindi 15 mpaka 20 isanathe. Komabe, izi zomaliza zitha kulimbikitsidwa kwa okhawo omwe akudziwa kale pakulimbana ndi hypoglycemia.
Kugwiritsa ntchito insulin pambuyo pophunzitsidwa kumakhala ndi zabwino ziwiri zosatsutsika: choyamba, hypoglycemia yomwe imayambitsidwa ndikuyambitsa kwa insulin yakale imayatsidwa kwambiri pakuchepa kwa shuga m'magazi panthawi yochita masewera olimbitsa thupi ndi chitsulo, zomwe zimapangitsa kutulutsa kwa mahomoni okula kulowa m'magazi.
Kachiwiri, insulini imalepheretsa kusintha kwa ma amino acid kukhala glucose, zomwe zikutanthauza kuti pali chitsimikizo kuti mapuloteni omwe amapezeka pakumwa kwanu osagwiritsa ntchito mphamvu sangapite kukangokhalanso ndi mphamvu zotsalira za thupi. M'masiku ochotsedwa mu masewera olimbitsa thupi, jakisoni imatha kuchitika m'mawa popanda kanthu, mphindi 20-30 chakudya chisanafike.
Chakudya chomwechi chitha kukhala (ndipo pankhani yophunzitsira, ndikofunikira, chifukwa palibe njira ina yotuluka) chosinthira ndi malo omwera, omwe ayenera kukhala ndi zinthu zotsatirazi: 50-60 magalamu a protein ya Whey, zakudya zamafuta 7 magalamu 1 pa IU ya insulin, gramu ya creatine; magalamu 5-7 a glutamine.
Ola ndi theka pambuyo podyera ayenera kutsatiridwa ndi chakudya chokhazikika. Malo abwino oti jakisoni wa insulin ndi phula pamafuta. Osayandikira mwachangu m'mimba mwanu ndikuyerekeza kuti mulibe mafuta pamenepo - aliyense ali nawo.
Kukhazikitsidwa kwa insulin pamatumbo pamimba sikumapweteka konse komanso kumalekerera ngakhale anthu omwe azolowera kulephera kuchokera ku singano ya syringe imodzi. Kuphatikiza apo, imakhala yothandiza kawiri ngati jakisoni m'manja. Kodi hypoglycemia ndi momwe mungazindikire?
Ndikofunikira! O, ndizosatheka kuzindikira hypoglycemia! Ndili ngati chidakwa cha zakumwa zoledzeretsa: mutha kudziwa za kukhalapo kokha pokhapokha, koma, mutakumana nazo koyamba, mumazindikira mwachangu (ngati mukutha kudziwa china chake) - inde, ndizo! Mwa njira, izi ziwiri - zakumwa zoledzeretsa ndi hypoglycemia - ndizofanana.
Wotsirizayo akuyamba ndi kuwonjezeka kowopsa kwa njala, chizungulire chikuwonekera, ngati nkhani ya kuledzera pang'ono, manja akunjenjemera. Munthu mwadzidzidzi amayamba thukuta, mtima wake umayamba kugunda mwachangu. Zonsezi zimayendera limodzi ndi kusintha kwa kayendetsedwe - kumverera kopatsa chidwi, kapena mosinthanitsa - kusokonekera kumangomangika, ndipo onse awiri pambuyo pake amakhala ndi tulo.
Hypoglycemia yofatsa siyowopsa, koma kwambiri hypoglycemia imatha kutayitsa chidwi, munthu samatha kuzindikira zomwe zikuchitika, ndipo amatenga nthawi yofunikira panthawi. Kuti muimitse hypoglycemia modabwitsa, kumwa zakumwa zina zokhala ndi shuga, mutha kungomwa shuga osungunuka m'madzi, kudya zina zotsekemera - maswiti, makeke, keke, pamapeto pake, muzingodya chilichonse mpaka zizindikiro zodabwitsazi zitatha.
Chenjezo: Muzovuta kwambiri, muyenera kubaya shuga kapena adrenaline m'mitsempha, koma apa simungathe popanda thandizo lakunja. Ndi mankhwala ati kuti musankhe Chabwino, chilichonse ndichosavuta apa, kusankha sikofunika kwambiri. Mankhwala abwino kwambiri omwe amapezeka pamsika wathu amatchedwa Humulin ndipo amapangidwa ndi Eli Lilly (USA) kapena othandizira ku France, ndipo muyenera kuwasankha.
Kuti mugwiritse ntchito pakupanga thupi, ma insulin othamanga kapena ofupikitsika ndi oyenera kwambiri, ngakhale mutha kugwiritsanso ntchito Humalog Mix 75/255 kapena kuphatikiza kwa Humulin 50/50 (zophatikizika zimagulitsidwa zakonzeka kugwiritsa ntchito, komabe, sitimazipeza nthawi zambiri).
Ma insulin othamanga komanso osakhalitsa amatha kutumikiridwa kawiri pa tsiku, kuphatikiza kumangogwiritsidwa ntchito kamodzi patsiku, makamaka mu gawo loyamba. Kutalika kwapakatikati kumakhala ndi index ya "L" ndi ma insulin omwe amakhala nthawi yayitali ndi oyenera kwa odwala omwe ali ndi matenda a shuga.
Momwe mungathanirane ndi kufalikira kwamafuta Kuti muthane ndi izi zosasangalatsa, pali njira zingapo. Woyamba mwa iwo, komanso wotetezeka, amatchedwa Metformin. Metformin ndi mankhwala apakamwa omwe amagwiritsidwa ntchito ngati othandizira odwala matenda ashuga.
Malangizo! Cholinga chake chachikulu ndi kuteteza chiwindi kuti chizitulutsa shuga wambiri. Pambuyo pake, mtundu wamtunduwu udadziwikanso kumbuyo kwa mankhwalawa, monga kuwonjezereka kwa kugwiritsa ntchito glucose ndi maselo amafuta ndi mafupa am'mimba.
Muzochita zamankhwala, metformin, pakati pazinthu zina, imalembedwa kwa odwala omwe ali ndi matenda osokoneza bongo kuti apewe kudzikundikira kwambiri kwamafuta osaneneka. Zina zoyipa za metformin zimaphatikizaponso chizolowezi chake choyambitsa matenda am'mimba pafupifupi kotala la iwo omwe amamwa mankhwalawa.
Ndikukhulupirira kuti simufunikira kufotokozera zam'mimba zotere. Mumsika wathu, mankhwala angapo amagulitsidwa omwe ali ndi metformin ngati chinthu chogwira ntchito. Ndinkakonda kwambiri Siofor yopangidwa ndi Berlin-Chemie AG koposa onse. Pali mitundu iwiri ya mankhwalawa, yosiyana ndi zomwe zili mu metformin piritsi limodzi - Siofor-850 ndi Siofor-500.
Muli wamba tsiku lililonse la mankhwalawa ndi 1500-1700 mg, wogawidwa awiri Mlingo. Pankhani ya kutsekula m'mimba, mlingo umatha kuchepetsedwa gramu imodzi. Insulin + triiodothyronine Iyi ndi njira "yapamwamba" kwambiri yothanirana ndi kuchuluka kwamafuta. Mukudziwa kale kuti insulin ndi chiyani, ndipo triiodothyronine ndi mahomoni a chithokomiro, i.e. mahomoni a chithokomiro, mwachidule, tizitcha T3.
Ziyenera kunenedwa nthawi yomweyo kuti kuwongolera kuchuluka kwa mahomoni a chithokomiro kumatha kukhala ndi zotsatirapo zovuta kwambiri, chifukwa chake kumwa mankhwalawa kuyenera kuchitidwa moyang'aniridwa ndi achipatala. Ngati mulibe mwayi woyezetsa magazi sabata iliyonse, ndiye kuti kutenga T3 ndibwino kuti musayambe.
Komabe, izi zimangogwira ntchito pamankhwala okhazikika, kuchuluka kwa dongosolo la 25 μg kumatha kuonedwa kukhala kotetezedwa, ngakhale osagwira ntchito mokwanira. T3 imatha kuthamangitsa kagayidwe, motero machitidwe ake mpaka pamlingo wina amafunika kuthekera kwa insulin kudzikundikira mafuta - triiodothyronine mafuta awa amayika "mu ng'anjo yamphamvu" ya thupi.
Ndipo komabe, musanagwiritse ntchito hormone iyi, muyenera kuganizira kawiri - zovuta zamtundu wa chithokomiro zomwe zimatha kupweteketsa sizingasinthe. Kwa iwo omwe adaganiza zoyesa, timapereka njira yoyenera yogwiritsira ntchito T3 limodzi ndi insulin.
Ndikukhulupirira kuti mwadziwa kale njira yogwiritsira ntchito insulini, choncho sindingapereke apa, ndikungodziwa kuti insulin imagwiritsidwa ntchito tsiku ndi tsiku kuzungulira. Sabata 1 ndi 4: 25 mcg T3 malinga ndi chiwembu: masiku 2 a kuvomerezedwa / 1 tsiku lopuma Masabata 2 ndi 3: 50 mcg T3 malinga ndi chiwembu: masiku 2 a kuvomerezedwa / 1 tsiku lopuma Insulin + DNP Tivomereze nthawi yomweyo: Sikuti ndidalemba izi, koma inu sanawerenge.
Kapena choncho - mutatha kuwerenga nthawi yomweyo muziwotcha. Ndi wachisoni yekha amene angalimbikitse kugwiritsa ntchito 2,4-dinitrophenol, ndilo dzina lathunthu la mankhwala osokoneza bongo a DNP, kwa munthu yemwe alibe mpikisano wolimbitsa thupi.
Ndikofunikira! Chifukwa chake, lingalirani izi ngati gawo la zinthu zosangalatsa komanso zophunzitsira, osati monga chitsogozo choti muchitepo kanthu. Pofuna kuti ndisalankhule za DNP kwa nthawi yayitali, ndinganene kuti mankhwalawa ali kutali kwambiri ndi mankhwala monga mafuta a tycoon pamavuto a nzika wamba.
Gawo lalikulu la ntchito yake (DNP, osati tycoon, inde) ndikulimbana ndi tizirombo ta mitundu yonse, kuti tizinena mosavuta, DNP ndi poizoni. Kugwiritsa ntchito 2,4-dinitrophenol kumayendera limodzi ndi zovuta zambiri kotero kuti nkhani yokhayo ifunika kuwafotokozera. Koma, komabe, wowotchera mafuta othandiza masiku ano kulibe.
Njira yogwiritsira ntchito insulin molumikizana ndi DNP imatha kuwoneka motere: Tsiku 1-8: DNP pamlingo wa 4-5 mg pa 1 kg yolemetsa wa insulin 15-20 IU Tsiku 9-16: Insulin 15-20 IU Day 17-24: DNP from kuwerengetsa 4-5 mg pa 1 makilogalamu a kulemera kwa insulin 15-20 IU.
Muyenera kumvera chifukwa DNP sayenera kumwedwa kwa masiku opitilira 8 otsatizana. Kuphatikiza apo, kumwa mankhwalawa ndizosatheka panthawi yotentha, pokhapokha ngati muli ndi mwayi wokhala nthawi yonse yonse m'zipinda zokhala ndi mpweya.
Malamulo osavuta azakudya
Koma ngakhale mutalimbana bwanji ndi kufotokozeredwa kwamafuta ndi njira za "mankhwala", kuyesayesa konse kutembenukira kufumbi poyang'anizana ndi kupewera zakudya. Chifukwa chake, munthawi ya insulin "chithandizo" chiyiwala za kukhalapo kwamafuta a nyama, komanso mafuta azamasamba.
Chenjezo: Kukana mazira a mazira; ngati simunatero, imwani mkaka wokha. Yesetsani kuti musakumbukirenso maswiti, ndizovuta, ndikumvetsetsa, koma mungatani! Gwero lalikulu lama calories kwa inu liyenera kukhala mapuloteni, muyenera kudya pafupifupi magalamu 5-6 pa kilogalamu imodzi yowuma (yopanda mafuta) patsiku.
Kuphatikiza pa mapuloteni, muyenera kutenga amino acid, chisamaliro chapadera chiyenera kulipidwa kwa alanine, glutamine, arginine ndi taurine. Insulin ili ndi mankhwala othandizira kuponderezana, imakhala ndi nkhawa komanso imalimbikitsa bata.
Katunduyu wa insulin ndiwofunika kwambiri kwa omanga thupi omwe amakonda kupsinjika pambuyo pa kuzungulira chifukwa chakuchepa kwambiri kwa testosterone m'magazi. Mwa njira, wolemba nkhaniyo adamva bwino za insulin payekha.
Malangizo! Hypoglycemic coma (mwachilengedwe, moyang'aniridwa kwambiri ndi achipatala) nthawi zina imagwiritsidwa ntchito pochiza matenda ena amisala.Zomwe zingasangalatse omanga thupi ndi chakuti insulin imakulitsa zochita za anabolic steroid powonjezera kupezeka kwa nembanemba.
Komabe, tisaiwale kuti kuchuluka kwakukulu kwa ma aromatizing steroid kumathandizira kuti mafuta azikhala mu mtundu wachikazi (i.e. m'malo osayeneranso izi - m'chiuno ndi m'chiuno) komanso pawokha, ndipo insulin ingalimbitse njirayi. Chifukwa chake, ngati kuli kotheka, muyenera kudzipatula ku ma non-aromatizing steroids, popeza kusankha kwawo ndikokulira.
Insulin - Hormone Yakula
Kudya insulini pafupipafupi m'malo amasewera kumalumikizidwa ndi zoopsa, koma nthawi zina ndikofunikira kuti mukhale ndi thanzi. Izi zimachitika chifukwa cha kuchuluka kwa mahomoni okula. Kulandiridwa kwa kukula kwa mahomoni kumachitika mthupi mwanjira yoti kuchuluka kwa shuga m'magazi kumakwera kwambiri.
Chenjezo: Zotsatira zake, zikondamoyo zimayamba kugwira ntchito kwambiri kuti zipange insulini ndikubwezeretsa kuchuluka kwa shuga kukhala kwabwinobwino. Koma pamene kuchuluka kwa mahomoni okula kumatenga nthawi yayitali, ndipo mlingo wake umakhala waukulu, pamakhala chiopsezo chachikulu chakuchepetsa kapamba ndi kuyamba kudwala matenda a shuga.
Pofuna kupewa zoopsa zotere, insulin yovomerezeka (monga kapamba) nthawi zonse imatengedwa limodzi ndi kukula kwa mahomoni. Malo a insulin: pakati pa nyengo, insulini imagwiritsidwa ntchito limodzi ndi ma steroid kukonza bwino kwa anabolic, komanso pakati pa maphunziro (omwe amachepetsa kuchepa kwa kukula kwa minofu).
Kodi insulin imagwiritsidwa ntchito bwanji?
Pazonse, pali ziwembu zochulukirapo, koma tsopano ndilankhula zazinayi mwa zosavuta kwambiri zomwe zimagwiritsidwa ntchito bwino nthawi ya offseason.
Yalandilidwa pambuyo pa kuphunzitsidwa
Cholinga chachikulu cha mtundu uwu wa kudya ndikupewa kuchulukana kwamafuta ndikuthandizira njira yochira thupi pambuyo pakulemedwa kwambiri. Mukangophunzira kumene, chitani izi:
- Lowetsani insulin yochepa kapena yochepa
- Imwani Whey protein / amino acid,
- Tengani mafuta osavuta.
Ngati angafune, glutamine kapena creatine akhoza kuwonjezeredwa mu kusakaniza kwa chakudya. Muyeneranso kukumbukira kudya chakudya chomwe mwakonzekera ola limodzi mutatha kudya mapuloteni.
Cholandiridwa musanaphunzire
Njira yolowerera imeneyi imalepheretsa kuwononga minofu nthawi ya maphunziridwewo. Ndiye kuti, mutha kuchita masewera olimbitsa thupi kwambiri komanso kuwonjezera thupi. Ndikofunika kukumbukira kuti njirayi ndi yoyenera kwambiri kwa iwo omwe ali ndi chizolowezi chogwiritsa ntchito insulin.
Chovuta chachikulu cha chiwembucho ndicho kusankha payekha mankhwalawa, komanso kuchuluka kwa chakudya chamagulu (omwe muyenera kudya musanaphunzitsidwe ndi kumwa panthawi yophunzitsira).
Chifukwa chake, chojambulachi chikuwoneka motere:
- Maola 1.5 musanayambe kulimbitsa thupi, muyenera kudya chakudya chomwe mwakonza.
- Gwiritsani ntchito insulin theka la ola musanayambe maphunziro.
Mukamaphunzira muyenera kumwa osakaniza ndi izi:
- Creatine - 5-10g, Glutamine - 15-20g, Glucose kapena amylopectin - 1g pa 1kg ya thupi, Whey protein - 0.5g pa 1kg ya thupi.
Zonsezi ziyenera kusungunuka mu 750-1000 ml ya madzi ndikuledzera m'magawo ang'onoang'ono pamaphunziro. Maphunzirowa atatha, muyenera kumwa gawo lina la zakumwa zomwezo, ndipo mutatha ola limodzi - chakudya chomwe mwakonza.
Zovomerezeka tsiku lililonse
Malowa ndi oyenera kwa iwo omwe ali ndi mafuta ochepa ndipo samakhala onenepa kwambiri, apo ayi chiwopsezocho ndi chachikulu kwambiri kuti amasintha kukhala mbiya m'malo othamanga.
Kumwa insulini ndikosavuta: mukatha kudya chilichonse muyenera kupeza jakisoni (nthawi zambiri mumakhala mu nthawi ya 2-4 patsiku). Timaphatikiza insulin ndi mahomoni okula. Njira iyi ndi yovuta kwambiri ndipo iyenera kutsagana ndi kugwiritsa ntchito glucometer.
Ngati tikuwona mu mtundu wosavuta, chiwembucho chikuwoneka motere: pambuyo pa jakisoni wa kukula kwa mahomoni, muyenera kuyeza mulingo wa glucose m'magazi theka lililonse la ola. Ndikofunikira kudziwa nthawi yomwe mahomoni amakula amakula.
Nachi chitsanzo choti mumvetsetse. Tiyerekeze kuti pambuyo pa kukhazikitsa ma hormone okula amatenga theka la ora, ndipo kuchuluka kwa glucose kunayamba kukwera kwambiri, ndipo mumagwiritsa ntchito insulin yayifupi (imayamba kugwira ntchito mphindi 30 pambuyo pobayikiridwa m'magazi). Chifukwa chake likukwanira kuti pakhale zofunikira kupanga mahomoni oterewa akamakula akukweza kuchuluka kwa shuga m'magazi, pofika nthawi iyi insulin iyenera kuyamba kugwira ntchito m'thupi.
Timasankha mitundu
Mlingo umafunika kusankhidwa bwino, ndipo ndibwino kuyamba ndi mayunitsi anayi. Onani ngati muli ndi zokwanira. Ngati ndi choncho, onjezerani kuti sikofunikira, ndibwino kusiya zonse monga zilili. Ngati mulingo wokwanira si wokwanira, ndiye kuti nthawi ina mukadzayeseranso kuyesa komweko, koma jekeseni 2 mayunitsi ena.
Chifukwa chiyani 2? Chifukwa kuchuluka kumeneku kumakhala kokwanira kuchepetsa kuchuluka kwa shuga m'magazi ndi 1 mol. Njirayi ikufunika kupitilizidwa mpaka pakumveka pang'ono "jolting." Masiku angapo ogwira ntchito mwamphamvu ndi mita akukwanira kuti mupeze kuchuluka kwanu ndi zizindikiro.
Ndikofunika kukumbukira kuti ngakhale mukumwa insulini, kuchuluka kwa chakudya chamthupi kuyenera kukhazikika. Ngati mulingo wake umadumpha mosalekeza, ndiye kuti pali chiwopsezo chachikulu chotenga mafuta (ngati pali mafuta ochulukirapo) kapena kudwala (ngati pali mafuta ochepa).
Zosiyanasiyana za insulin
Ma insulin onse, kutengera nthawi yomwe ingagwire, amagawidwa m'mitundu ingapo:
Njira zomwe zili pamwambazi zimagwiritsa ntchito yochepa kapena ya ultrashort insulin. Kusiyanitsa kofunikira ndikusiyana kwa kuthamanga ndi nthawi ya mankhwalawa. Ngati mumasankha mankhwala, ndibwino kupatsa chidwi kwa opanga akunja omwe akhala ali pamsika ndipo atha kudzipanga okha kukhala opanga ndi zinthu zapamwamba kwambiri.
Ndikofunikanso kwambiri kusankha mlingo woyenera ndi ma syringe a jakisoni. Kukonzekera kwa insulin nthawi zambiri kumakhala ndi mayunitsi 100. pa 1 ml, koma wopezeka ndi 40 mayunitsi. pa 1 ml. Chifukwa chake zikhala kuti muyenera kugwiritsa ntchito ma syringe oyenera ndikumaliza maphunziro. Kupanda kutero, mutha kuyiwala kuwerengera kapena kuzipangitsa kukhala zolakwika, koma nthabwala zoyipa ndi insulini: mungawononge thanzi lanu kapena koyipa, mudzasewera pabokosi.
Kodi ndizovuta kugwiritsa ntchito insulin?
Palibenso chifukwa chosekerera ndi insulin. Mankhwala omwe agwiritsidwa ntchito ndi owopsa. Zotsatira zoyipitsitsa zimatha kubweretsa bongo. Musaganize nkomwe za jakisoni wathunthu wa insulin. Maola ochepa okha adzadutsa ndipo mudzagwedezeka.
Izi zimachitika kawirikawiri kuchuluka kwa shuga m'magazi kumatsikira kwambiri. Komanso, nthawi yayitali ya hypoglycemia, maselo am'mitsempha amafa mu ubongo. Kumbukirani kuti pambuyo pobayira jakisoni wa insulin, muyenera kupatsa thupi chakudya champhamvu kwambiri.
Idyani zinazake zokoma, mwachitsanzo. Izi zimabweza shuga m'magazi anu mwachizolowezi. Ola limodzi mutaphunzira kwambiri, mutha kugula chakudya chama protein. Zizindikiro zazikulu zakugwa komanso kowopsa kwa shuga m'magazi ndi izi:
- Kufooka, Kukhumudwa, Kuzungulire, Tinnitus.
Ngati zizindikiro zonsezi zikuwoneka mwa inu atabaya insulin, ndibwino kuzikana.
Ubwino ndi kuipa kwa Insulin
Ubwino wa insulin ndi monga:
- Mtengo wotsika, Kupezeka kwa mankhwalawo (ungagulidwe ku mankhwala popanda mankhwala), Palibe zoyipa, Palibe mavuto,
Palibe mavuto panthawi yolamulira doping (ma jakisoni amatha kupezeka pobayira jekeseni).
Ndipo chopusa chachikulu ndichakuti chinthucho sichimaganiziridwa ngati chothandiza monga momwe mungathere ndipo, m'malo mwake, ndizoyenera monga zowonjezera kwa ma steroid ndi mankhwala ena amphamvu kwambiri.
Chifukwa chiyani insulin imagwiritsidwa ntchito pomanga thupi?
Ndikuganiza kuti choyenera kukufotokozerani tanthauzo ili.
Insulin ndi mahomoni opangidwa ndi kapamba. Ntchito zake zazikulu ndi izi:
- Kutsitsa magazi
- Mayendedwe amtundu,
Ntchito zina zambiri, zomwe ndikambirana pambuyo pake, zimatsata izi 2. Popanga thupi, insulin ndiyotchuka pazifukwa zingapo:
- Mtengo wotsika
- Zotsatira za anabolic
- Zotsatira za anticatabolic,
- Palibe vuto ndi potency,
- Osati kugwedezeka kolimba pambuyo pa maphunzirowa,
- Zotsatira zoyipa zochepa poyerekeza ndi testosterone yokumba.
Nawu mndandanda wolemera. Komabe, sikuti zonse ndizophweka momwe zimawonekera. Insulin, ngakhale imathandizira pakukula kwa minofu, ndi mankhwala amphamvu. Ndikukhulupirira kuti mukudziwa kuti anthu omwe ali ndi matenda a shuga amawabayira, ndipo amagwiritsa ntchito ma syringe ena apadera ndi mlingo woyenera. Kuchokera pamenepa titha kunena kuti kugwiritsa ntchito insulin pomanga thupi, osadziwa milingo, kumabweretsa zotsatirapo zomvetsa chisoni. Kuphatikiza chikomokere ndi imfa.
Zotsatira za insulin pomanga thupi pakukula kwa minofu ndi kuyanika
Ngati mudawerengapo kale za pulogalamu yodyetsa zakudya zouma thupi kapena zakudya kuti muchepetse thupi osavulaza, ndiye kuti mukudziwa kuti kulikonse ndikulangizani kuti muchepetse calorie kudya ndi zakudya zamagulu. Chomwe chimapangitsa zonsezi ndi insulin. Mukangodzaza chakudya, nthawi yomweyo kupanga kwa timadzi timeneti kumayamba. Nthawi yomweyo, mulingo wake umachuluka kwambiri mukamamwa chakudya. Koma ngati awa ali opanga chakudya mthupi, ndiye kuti msangawo sukwera pang'onopang'ono, ngati kuchokera kumadzi, koma umawuluka ndi kulumpha lakuthwa.
Ngati mukufuna kuonera zambiri, nayi nambala yothandizira pamutu wa lero:
Kuchokera pamenepa timapezanso mfundo ina - insulin pomanga thupi imagwiritsidwa ntchito kokha pakulemera. Akauma, wothamanga amasowa mwayi wochotsa mafuta, chifukwa iye mwini, mothandizidwa ndi jakisoni, amaletsa kutentha kwa mafuta.
Insulin yathu imatha kunyamula mafuta, mapuloteni komanso chakudya chamafuta. Ndipo, mogwirizana, zitha kuthandizira kupeza kuchuluka, mphamvu zowonjezereka, komanso pakupanga mafuta. Nayi mphindi yomaliza yomwe imasangalatsa kwambiri ma stroke pa steroids. Komabe, kuchuluka kwamafuta amthupi kumadalira:
Ndiye kuti, ngati munthu sakonda kunenepa, ndiye kuti insulini ingamuthandize kumanga minofu bwino. Koma ngati tikuchita ndi endomorph, ndiye kuti nkhaniyo singakhale yofunika. Iyi ndi imodzi mwazosankha za mtundu wa munthu, zomwe mwachilengedwe zimapeza mafuta. Kodi mukuganiza kuti chidzachitike ndi chiyani atavulanso insulin? Nthawi yomweyo, tsopano tikulankhula za mlanduwo ngati munthu sanamwe mankhwala ena.
Ngakhale zili choncho, kugwiritsa ntchito insulin pomanga thupi kumakupatsani mphamvu ndi kunenepa kwambiri.
Zotsatira za insulin
Zotsatira za anabolic za timadzi timeneti ndikuti zimathandiza ma cell kuyamwa ma amino acid. Kenako, insulin imathandizira kuphatikiza mapuloteni komanso mafuta acids, zomwe zimapangitsa kukula kwa minofu ndi mafuta onse.
Chotsatira, tili ndi anti-catabolic athari. Poterepa, m'mawu osavuta, insulin imachepetsa kuchepa kwa mapuloteni. Ndiye kuti, minofu sizichedwa kuwonongeka. Koma limodzi ndi izi, monga ndidanenera poyamba, zimalepheretsa mafuta kuwotcha, kuteteza mafuta kuti asalowe m'magazi athu kuzosungidwa zodana nazo.
Koposa zonse, insulini pakupanga thupi imasintha kagayidwe. Zimathandizira minofu kuyamwa glucose ndikuphatikiza glycogen ochulukirapo, kutanthauza kuti kukula kwa minofu kumawonjezeka.
Mitundu ya insulin
Ngati tizinena za mankhwalawa, ndiye kuti ali ndi mitundu itatu ya zochita:
Awiri oyamba amagwiritsidwa ntchito pomanga thupi. Pambuyo pa maola awiri, zotsatira zapamwamba zimachitika, ndiye kuti pamakhala kuchepa ndikuchotsedwa kwathunthu kwa thupi pambuyo pa maola 3-4.
Insulin yochepa imatsegulidwa mphindi 30 pambuyo pa kutsata. Peak imabweranso maola awiri, ndipo zotuluka kuchokera mthupi zimapita motalikirapo, mpaka maola 5-6.
Mapeto ndi Mapeto
Ndinkalankhula za insulin pomanga thupi pazophunzitsa zokha. Kuti owerenga adziwe chifukwa chake mankhwalawa akufunika komanso momwe amathandizira pakukula kwa minofu. Sindikulangiza aliyense kuti akhale pansi pamahomoni ndi kuwononga thanzi lawo chifukwa chovala pazenera.
Mwa njira, pochita, insulin pakukula kwa minofu imagwiritsidwa ntchito limodzi ndi ma steroids. Mankhwalawa amagwira ntchito mosiyanasiyana ndipo pamodzi amapereka mphamvu zambiri. Njira ya insulin yoyera imatha miyezi iwiri, kutengera mlingo.
Axamwali, ndikhulupilira kuti nkhaniyi yakutsegulirani chinthu chatsopano, chothandiza komanso chosangalatsa. Ndili wokondwa pazokonda zanu, zobwereza ndi ndemanga. Apa ndipomaliza nkhaniyi, komabe pali zinthu zambiri zosangalatsa zomwe zikubwera, choncho khalani okonzeka. Khalani ndi tsiku labwino komanso kupambana!