Kulimbitsa thupi insulin - kudya (maphunziro), Mlingo, mavuto

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Insulin (kuchokera lat. insula - chilumba) - mahomoni a peptide chilengedwe, amapangidwa m'maselo a beta am'mapiri a Langerhans a kapamba. Imakhala ndi mphamvu zambiri za kagayidwe kazinthu zina zonse. Chochita chachikulu cha insulin ndikuchepetsa kuchuluka kwa shuga m'magazi. Pomanga thupi, insulin imagwiritsidwa ntchito chifukwa cha kutchulidwa kwake kwa anabolic. Njira ina ndi yothandizira pakamwa ya hypoglycemic monga Diabeteson.

Insulin imawonjezera kupezekanso kwa michere ya plasma ya glucose, imayendetsa ma enzymes ofunikira a glycolysis, imalimbikitsa mapangidwe a glycogen mu chiwindi ndi minofu kuchokera ku glucose, ndikuwonjezera kaphatikizidwe ka mafuta ndi mapuloteni. Kuphatikiza apo, insulin imalepheretsa ntchito za ma enzyme omwe amawononga glycogen ndi mafuta. Ndiye kuti, kuwonjezera pa anabolic, insulin imakhalanso ndi anti-catabolic.

Kukula kwakukulu, kuyendetsa shuga m'magulu awiri amisempha kumadalira insulin: minofu ndi minyewa ya adipose - izi ndi zomwe zimadziwika. minofu yodalira insulin.

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.

Kugwiritsa ntchito insulin pomanga thupi

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.

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.

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:

  1. Maphunzirowa ali ndi masiku 60, zomwe zikutanthauza kuti nthawi yochepa.
  2. Ubwino wa mankhwalawa uli wonse pamlingo wapamwamba. Mwayi wogula zabodza ndi 1% poyerekeza ndi anabolic steroids.
  3. 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:

    1. Glucose wotsika m'thupi (pansi pa 3.3 mmol / L).
    2. Adipose minofu mkati maphunziro.
    3. 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:

    1. 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.
    2. Osapitirira 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

    Choyipa choyamba - Mlingo waukulu komanso nthawi yolakwika yogwiritsira ntchito. Yambani ndi yaying'ono Mlingo ndipo muwone thupi likuchita.

    Chachiwiri cholakwika - jekeseni wolakwika. Kubaya ndikofunikira mosazindikira.

    Cholakwika chachitatu - Kugwiritsa ntchito insulin musanaphunzire komanso pogona, zomwe ndizoletsedwa.

    Cholakwika chachinayi - 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.

    Kulakwitsa kwachisanu - kugwiritsa ntchito insulin pakuyanika. 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 zogwiritsidwa ntchito jekeseni.

    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:

    1. Kugwirizana ndi zakudya zamafuta.
    2. Phunzitsani bwino.
    3. 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:

    1. Dziwani thupi lanu, onetsetsani kuti lili mwadongosolo komanso mwakonzeka kugwiritsa ntchito insulin.
    2. Yenderani phunzirolo molondola komanso ndiudindo wonse.
    3. 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.

    Chifukwa ndi momwe mungatengere insulin pomanga thupi

    Nkhaniyi ikuyang'ana kwambiri pa mankhwala amphamvu kwambiri komanso owopsa a anabolic - insulin. Kupanga kwa timadzi tating'onoting'ono, momwe thupi limagwirira ntchito, kayendetsedwe ka kayendetsedwe kake, zotsatira zoyipa ndi mfundo zofunika kugwiritsa ntchito insulin monga kutulutsa magazi.

    Insulin ndi timadzi tambiri timene timapanga protein timene timayambitsa magazi. Hormoni imatulutsidwa m'magazi ndi maselo apadera otchedwa beta cell.

    Chochita chilichonse chimakhala ndi zotsatira zosiyana pakuchulukitsa shuga, chifukwa chake, chimakhala ndi gawo lina la kutulutsidwa kwa insulin mthupi. Hormone iyi imakhudza thupi lonse. Cholinga chachikulu cha insulin ndikuchepetsa magazi.

    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.

    Kugwiritsa ntchito insulin pomanga thupi

    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.

    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.

    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:

    1. Maphunzirowa ali ndi masiku 60, zomwe zikutanthauza kuti nthawi yochepa.
    2. Ubwino wa mankhwalawa uli wonse pamlingo wapamwamba. Mwayi wogula zabodza ndi 1% poyerekeza ndi anabolic steroids.
    3. 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:

    1. Glucose wotsika m'thupi (pansi pa 3.3 mmol / L).
    2. Adipose minofu mkati maphunziro.
    3. 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:

    1. 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.
    2. Osapitirira 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

    Choyipa choyamba - Mlingo waukulu komanso nthawi yolakwika yogwiritsira ntchito. Yambani ndi yaying'ono Mlingo ndipo muwone thupi likuchita.

    Chachiwiri cholakwika - jekeseni wolakwika. Kubaya ndikofunikira mosazindikira.

    Cholakwika chachitatu - Kugwiritsa ntchito insulin musanaphunzire komanso pogona, zomwe ndizoletsedwa.

    Cholakwika chachinayi - 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.

    Kulakwitsa kwachisanu - kugwiritsa ntchito insulin pakuyanika. 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 zogwiritsidwa ntchito jekeseni.

    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:

    1. Kugwirizana ndi zakudya zamafuta.
    2. Phunzitsani bwino.
    3. 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:

    1. Dziwani thupi lanu, onetsetsani kuti lili mwadongosolo komanso mwakonzeka kugwiritsa ntchito insulin.
    2. Yenderani phunzirolo molondola komanso ndiudindo wonse.
    3. 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.

    Kumanga insulin: ntchito (kumene), mlingo, zoyipa!

    Insulin - Ndi mahomoni achilengedwe a peptide, omwe amapangidwa m'maselo a beta a kapamba. Cholinga chake chachikulu ndikuchepetsa shuga m'magazi (kuchepetsa magazi a shuga).

    Pomanga thupi, imagwiritsidwa ntchito chifukwa imakhala ndi tanthauzo lotchedwa anabolic.

    Koma kuwonjezera pa kuti insulin imakhala ndi anabolic, imakhalanso ndi anti-catabolic chifukwa imatha kuyambitsa ma enzyme a glycolysis, imathandizira kupanga glycogen mu chiwindi ndi minofu kuchokera ku glucose, komanso imathandizira kapangidwe ka mapuloteni ndi mafuta. Komanso, insulini imalepheretsa ntchito za ma enzyme omwe amaphwanya glycogen ndi mafuta. Izi zikufotokozera bwino chifukwa chake zimakhala ndi anti-catabolic athari.

    Kulimbitsa Thupi

    Komabe, insulin ndi mankhwala amphamvu kwambiri, omwe sayenera kugwiritsidwa ntchito ndi katswiri wa novice. Ndipo chifukwa chake izi ndizovuta zomwe zingakuchitikireni ngati mugwiritsa ntchito molakwika! Ine.e. imfa yotheka.

    Chofunika kwambiri Ubwino wa INSULIN ndikuti ndi TRANSPORT HORMONE. Insulin imafikitsa michere m'maselo.

    Tsopano tikulankhula makamaka za Glucose (chakudya), ma amino acid (mapuloteni) pamodzi ndi ma triglycerides (mafuta) zimadaliranso ntchito ya mahomoni awa.

    Kuti mumvetsetse zenizeni za ntchito ya insulini, lingalirani michere yonse itatu m'thupi lanu.

    KUTHANDIZA KWA INSULIN:

    1. CARBOHYDRATE = mphamvu zowonjezera
    2. PROTEIN = kukula kwa minofu
    3. FAT = kukula kwamafuta

    Kutengera izi, zikuwonekeratu kuti insulini imatha kuthandizira onse malinga ndi kuchuluka kwa minofu, komanso "kuthandizira" pankhani ya kuchuluka kwa mafuta. Koma zimatengera zinthu ziwiri:

    • CHITSANZO CHAMODZI (mapuloteni ochulukirapo m'zakudya ndi mafuta ochepa, zopindulitsa zambiri)
    • A ZENENZO zanu (mtundu wamtundu) (munthu akayamba kunenepa kwambiri, insulin ingamuvulaze)

    Insulin imanyamula ZONSE. Koma amatha kugwira ntchito "munjira zosiyanasiyana" (ma accents). Mwinanso kwambiri panjira ya anabolism ya minofu (kukula). Kapena mwina panjirayi kukula kwa mafuta m'thupi.Ndipo kuti mupeze imodzi, kupatula inayo ndi KUSANTHA! Ine.e. padzakhala kukula kwa minofu ndi kukula kwamafuta mulimonse.

    Koma, ngati muli mwachilengedwe ECTOMORPH (palibe mafuta m'thupi, mafupa owonda), ndiye kuti insulini idzakuthandizani kuposa kuvulaza, chifukwa mwachepetsa insulini. Kumbali inayi, ngati muli a ENDOMORPH (muli ndi mafuta, m'mimba, muli ndi mafupa akulu, mumapeza mafuta ochulukirapo), ndiye kuti mwakulitsa kukana kwa insulini ndipo sizomveka kugwiritsa ntchito, mwachidziwitso.

    Zotsatira za insulin

    Insulin ili ndi zovuta zambiri, magulu akulu ndi:

    1. Zotsatira za anabolic
    2. Anti-catabolic zotsatira
    3. Mphamvu ya masabolic

    Zotsatira za insulin

    Insulin imathandizira kuyamwa kwa amino acid ndi maselo amisempha, makamaka leucine ndi valine.

    Zimathandizanso Kubwereza kwa DNA ndi mapuloteni a biosynthesis, mayendedwe a magnesium, phosphate ndi potaziyamu mu cell, kumathandizanso kaphatikizidwe kazinthu zamafuta ndi kuyerekeza kwawo kotsatira mu minyewa ya adipose ndi chiwindi, insulini imalimbikitsa kutembenuka kwa glucose kukhala triglycerides, ndipo pakakhala kusowa kwa insulin, zotsutsana ndizowona - kulimbikitsa mafuta.

    Mphamvu ya insulin

    Insulin imalepheretsa mapuloteni hydrolysis, i.e. amachepetsa kuchepa kwa mapuloteni, komanso amachepetsa lipolysis, i.e. amachepetsa kudya kwamafuta m'magazi.

    Zotsatira za metabolism za insulin

    Insulin imayendetsa ma enzymes ofunikira a glycolysis, imakulitsa kuphatikizidwa kwa glucose ndi maselo a minofu, kukula kwa kapangidwe ka glycogen ndi zinthu zina, komanso kumachepetsa kukula kwa gluconeogenesis (i.e., kumachepetsa kupanga kwa glucose m'chiwindi).

    Ndikuganiza kuti sikofunikira kulemba zambiri pazonsezi, chifukwa kuthekera kwakuti anthu ali ndi chidwi ndikuti amvetsetse ndizopanda tanthauzo.Chifukwa chake, ndikupangira kusamukira ku gawo lokambirana kwambiri lero.

    Kulimbitsa Thupi

    Munkhani yokhudza matenda ashuga komanso masewera, ndachita kale gawo loyambira, i.e. Adanenanso mitundu ya insulini yomwe ili ndi odwala matenda ashuga komanso yopanga thupi. Lero tikambirana zonsezi mwanjira yatsopano.

    Pomanga thupi, yochepa komanso ya ultrashort insulin imagwiritsidwa ntchito.

    Mwachidule kuchita insulin

    Insulin yochepa imayamba kugwira ntchito ndi jakisoni wokhazikika (jekeseni) pambuyo pa mphindi 30 (imaperekedwa kwa mphindi 30 asanadye), nsonga ya chochitikacho imachitika patatha maola 2 jekeseni itatha, ndikuzimiririka ndi thupi laumunthu itatha maola 5-6.

    Chisankho chabwino apa ndi: ACTAPID NM kapena HUMULIN REGULAR.

    Ultra Yokhala-Mwachidule Insulin

    Ultrashort insulini imayamba kugwira ntchito nthawi yomweyo, pafupifupi mphindi 5 mpaka 10, nsonga ya kuchitapo kanthu imachitika pambuyo pa maola 2, ndipo imazimiririka thupi laumunthu itatha maola 3-4. Insulin yamtunduwu imayendetsedwa musanadye nthawi yomweyo (chabwino, kapena m'mphindi 5 mpaka 10) kapena mukangodya. Zilibe kanthu.

    Chisankho chabwino apa ndi: NOVORAPID Penfill kapena NOVORAPID Flexpen.

    Kwa ndalama, kosi ya miyezi iwiri ingawononge ndalama pafupifupi ma ruble 2000-3000.

    Kodi zabwino ndi zovuta za insulini ndi ziti?

    Mapindu ake ndi awa:

    1. Osatinso mtengo wokwera mtengo
    2. Mitundu yapamwamba (nsomba siziphatikizidwa, mosiyana ndi anabolic steroids)
    3. Kupezeka (mutha kugula ku malo ogulitsa mankhwala osawopa kugwidwa, mosiyana ndi ma steroid)
    4. Ili ndi tanthauzo la anabolic
    5. Kuchuluka kwamavuto obwera chifukwa (zina pambuyo pake)
    6. Pafupifupi palibe zotsatira zoyipa
    7. Kubwezeretsa kochepa
    8. Ndizotheka kuphatikiza ndi ma steroid ndi zinthu zina
    9. Kuperewera kwa androgynous thupi
    10. Insulin ilibe poizoni pachiwindi kapena impso, ndipo siyimayambitsa mavuto a potency.

    Zoyipa zake ndi izi:

    1. Hypoglycemia
    2. Kulemera kwakukulu kwamafuta pamaphunziro onse
    3. Regimens yovuta

    Zotsatira zoyipa

    1.

    Apanso hypoglycemia: Manja amayamba kugwedezeka, manja okha ndi miyendo yonse imayamba kugwedezeka, kuponyera thukuta, mumayamba kumva tanthauzo lenileni la mawu (chikumbumtima ngati nkhungu) pamavuto ambiri ndi kulumikizana komanso kuyang'ana malo, kumveka kumva njala kumachitika, mtima umayamba kugunda mwachangu (monga sichikutuluka) mwachidule, umazindikira mwadzidzidzi hypoglycemia modzidzimutsa.

    Chofunikira kwambiri: ngati mukumva zizindikiro zilizonse ndipo ngati zoterezi zachitika, muyenera kuzipewa mwachangu potenga shuga msanga momwe mungathere.

    2. Nthawi zina kuyabwa m'jekeseni - M'malo mwake, awa ndi zinyalala, osati msewu wammbali.

    3.Allergy - pafupifupi sizimachitika, koma nthawi zina zimachitika.

    4. Zimachitika kutsika kwa amkati katulutsidwe ka insulinIzi ndi zokhazo kwa iwo omwe akhala akupanga insulin kwa nthawi yayitali ndikugwiritsa ntchito milingo yayikulu kapena amagwiritsa ntchito mitundu yayitali ya insulin (monga protafan).

    Mapulogalamu a insulin

    Chifukwa chake, tapeza kale kuti ndi insulin iti kuti musankhe, ngati mwayiwaliratu, werengani pamwambapa.

    Maphunzirowa amatenga miyezi 1-2, pambuyo pake ndikofunikira kupuma kuti mubwezeretsenso chinsinsi chake. Kutsatira maphunzirowa, mutha kupeza minofu 5-10 (m'miyezi iwiri yomweyo).

    Mlingo waukulu osavomerezeka, Ndikofunika KWAMBIRI kuti ndiyambe ndi milingo yaying'ono (mayunitsi awiri, subcutaneously) ndikuwonjezera pang'onopang'ono mayunitsi awiri ndi zina mpaka 15-20, sizolimbikitsidwanso.

    PEMBEDZANI KWA AZIDZI AWIRI:

    1. Pang'onopang'ono yambani ndi milingo yaying'ono (mayunitsi awiri aliyense) ndipo pang'onopang'ono muwonjezere ziwalo ziwiri chilichonse mpaka mutafika pa 20. PENANI ZOSAVUTA KUTENGA 5 AU 10, NDIPO POPHUNZITSITSA TSOPANO 20. Osatero. Nditha kuyitanira anthu otere opusa, pepani pofotokoza.
    2. ASATSITSE FRAME (magawo 20). POSAfunika aliyense wakukuuzani (pa intaneti, olimbitsa thupi amaphatikizanso mayunitsi 50, osamvetsera ma morons awa).

    Pafupipafupi jakisoni ndibwino tsiku lililonse, koma ndizotheka tsiku lililonse, komanso kawiri patsiku.Komabe, pankhaniyi, maphunzirowa ayenera kukhala otsika kwambiri (i.e. mwezi umodzi), kapena ngati mungachite tsiku lina lililonse, mutha kuthamangira miyezi iwiri.

    Ndikulimbikitsidwa kupereka jakisoni - mutaphunzitsidwandiye kudya chakudya chochuluka. Ndikofunikira kuchita mukangomaliza maphunziro, chifukwa insulin imakhala ndi anti-catabolic athari, i.e. imalepheretsa njira za catabolic zomwe zimayambitsidwa ndi zolimbitsa thupi panthawi yophunzitsira.

    Dziwinso kuti kugwiritsa ntchito insulin pambuyo pophunzitsidwa kumakhala ndiubwino wina: kubweretsa thupi ku zizindikiro za hypoglycemia, zomwe zimayambitsidwa ndi kukhazikitsidwa kwa insulin yakale, imayatsidwa kwambiri pakuchepa kwa shuga m'magazi (mukayamba kulimba ndi chitsulo), izi zimapangitsa kuti timadzi timene timatulutsidwa m'magazi. kukula.

    Nthawi zina masana, sibwino kupaka insulin, koma ngati mumachita masewera olimbitsa thupi tsiku lililonse (mwachitsanzo, Mon, Wed, Fri) ndi Tue. Thu. Sat - mpumulo (i.e palibe maphunziro) ndizomveka kupereka jakisoni m'mawa (tisanadye chakudya cham'mawa) masiku awa (Tue. Thu. Sat i.e.

    Pakakhala kuti mulibe maphunziro) pamenepa tikulimbikitsidwa kugwiritsa ntchito insulin yochepa (mwachitsanzo, ACTAPID) ndikudya mphindi 30 pambuyo pa kubayidwa. Ndipo masiku ophunzitsira, pokhapokha mutaphunzitsidwa.

    MALANGIZO:Ngati mungabaye tsiku lililonse, ndiye kuti maphunzirowa amatenga mwezi umodzi (osatinso), ngati tsiku lina lililonse (ili ndi boma lolimbikitsa), maphunzirowa amatha miyezi iwiri. Pamasiku ophunzitsira - pambuyo pophunzitsidwa (njira yayifupi kwambiri, mwachitsanzo NOVORAPID), pamasiku opumula - m'mawa (kachitidwe kochepa, mwachitsanzo, ACTRAPID).

    1. Ngati mumagwiritsa ntchito insulin yocheperako (actrapid ndi yovomerezeka) ndiye kuti muzipaka jakisoni mphindi 30 musanadye chakudya chokwanira.
    2. Ngati mumagwiritsa ntchito insulini yochepa kwambiri (mwachitsanzo wa novorpid) ndiye kuti muperekeni jakisoni mukatha kudya.

    Kuti pasakhale kuyabwa ndi zinyalala zina ngati zamanjenje m'mafuta amkati (kuti khungu lisawume, ndi ma kampu ena asawonekere) - perekani jakisoni m'malo osiyanasiyana.

    Komanso muyenera kudziwa kuti 1 unit ya insulin - muyenera kumwa 10 g wamafuta (izi zikuthandizani kuwerengetsa kuchuluka kwa kubayirira insulin kenako kudya).

    Zolakwika ndi Kusamala Mukugwiritsa Ntchito Insulin

    1. Monga ndidanenera kale, ngati mutayamba maphunzirowo ndi Mlingo wocheperako, mayunitsi 2-5 ndikuwonjezera pang'onopang'ono, kuti muwone momwe thupi limachitikira.
    2. Pakani pang'onopang'ono (tenga khungu ndi mazira

    Chifukwa ndi momwe mungatengere insulin pomanga thupi

    Nkhaniyi ikuyang'ana kwambiri pa mankhwala amphamvu kwambiri komanso owopsa a anabolic - insulin. Kupanga kwa timadzi tating'onoting'ono, momwe thupi limagwirira ntchito, kayendetsedwe ka kayendetsedwe kake, zotsatira zoyipa ndi mfundo zofunika kugwiritsa ntchito insulin monga kutulutsa magazi.

    Insulin ndi timadzi tambiri timene timapanga protein timene timayambitsa magazi. Hormoni imatulutsidwa m'magazi ndi maselo apadera otchedwa beta cell.

    Chochita chilichonse chimakhala ndi zotsatira zosiyana pakuchulukitsa shuga, chifukwa chake, chimakhala ndi gawo lina la kutulutsidwa kwa insulin mthupi. Hormone iyi imakhudza thupi lonse. Cholinga chachikulu cha insulin ndikuchepetsa magazi.

    Zotsatira za insulin ndipo zimagwira bwanji?

    Mphamvu ya masabolic

    Ntchito ina yofunika ndikuwongolera kagayidwe kazakudya zamafuta ndi mafuta omwe amachokera mu chakudya. Kuphatikiza apo, insulin ili ndi zovuta zina zingapo za metabolic, mwachitsanzo, kuthetsedwa kwa kuwonongeka kwa mapuloteni ndi mafuta. Insulin imagwira tandem ndi glucagon, mahomoni ena opangidwa ndi kapamba.

    Ngakhale gawo la insulin ndikuchepetsa shuga m'magazi ngati kuli kofunikira, gawo la glucagon ndikuwonjezera shuga m'magazi ngati atsika kwambiri. Dongosolo loterolo limathandiza kuchuluka kwa shuga m'magazi kukhalabe m'malire oyenera, omwe amalola thupi kugwira ntchito moyenera.

    Insulin imalimbikitsa kuphatikiza kwamadzi ndi michere yambiri m'maselo, omwe pawokha amawonjezera kwambiri zotsatira za anabolic. Njira imeneyi imatambasulira ziwalo zam'mimba, ngati mpweya mu balloon.

    Njirayi imathandizanso kupanga njira inanso yakukula kwamphamvu, ndikuwonjezera kupanga IGF-1 ndi MGF (insulini-kukula kwa chinthu ndi kukula kwa makina). Makina awa, chifukwa cha synergistic zotsatira, amapereka mphamvu ya anabolic kwambiri.

    Chifukwa cha insulin, kuyamwa kwa amino acid kumakulanso.

    Anti-catabolic zotsatira

    Ma hormone a ma mayendedwe amakakamiza mamolekyulu a protein, omwe amaphatikizidwa ndi amino acid, komanso amachepetsa njira yogawa mafuta ndikuchepetsa kulowa kwawo m'magazi.

    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.

    Kugwiritsa ntchito insulin pomanga thupi

    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.

    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.

    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:

    1. Maphunzirowa ali ndi masiku 60, zomwe zikutanthauza kuti nthawi yochepa.
    2. Ubwino wa mankhwalawa uli wonse pamlingo wapamwamba. Mwayi wogula zabodza ndi 1% poyerekeza ndi anabolic steroids.
    3. 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:

    1. Glucose wotsika m'thupi (pansi pa 3.3 mmol / L).
    2. Adipose minofu mkati maphunziro.
    3. 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:

    1. 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.
    2. Osapitirira 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

    Choyipa choyamba - Mlingo waukulu komanso nthawi yolakwika yogwiritsira ntchito.Yambani ndi yaying'ono Mlingo ndipo muwone thupi likuchita.

    Chachiwiri cholakwika - jekeseni wolakwika. Kubaya ndikofunikira mosazindikira.

    Cholakwika chachitatu - Kugwiritsa ntchito insulin musanaphunzire komanso pogona, zomwe ndizoletsedwa.

    Cholakwika chachinayi - 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.

    Kulakwitsa kwachisanu - kugwiritsa ntchito insulin pakuyanika. 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 zogwiritsidwa ntchito jekeseni.

    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:

    1. Kugwirizana ndi zakudya zamafuta.
    2. Phunzitsani bwino.
    3. 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:

    1. Dziwani thupi lanu, onetsetsani kuti lili mwadongosolo komanso mwakonzeka kugwiritsa ntchito insulin.
    2. Yenderani phunzirolo molondola komanso ndiudindo wonse.
    3. 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.

    Kumanga insulin: ntchito (kumene), mlingo, zoyipa!

    Insulin - Ndi mahomoni achilengedwe a peptide, omwe amapangidwa m'maselo a beta a kapamba. Cholinga chake chachikulu ndikuchepetsa shuga m'magazi (kuchepetsa magazi a shuga).

    Pomanga thupi, imagwiritsidwa ntchito chifukwa imakhala ndi tanthauzo lotchedwa anabolic.

    Koma kuwonjezera pa kuti insulin imakhala ndi anabolic, imakhalanso ndi anti-catabolic chifukwa imatha kuyambitsa ma enzyme a glycolysis, imathandizira kupanga glycogen mu chiwindi ndi minofu kuchokera ku glucose, komanso imathandizira kapangidwe ka mapuloteni ndi mafuta. Komanso, insulini imalepheretsa ntchito za ma enzyme omwe amaphwanya glycogen ndi mafuta. Izi zikufotokozera bwino chifukwa chake zimakhala ndi anti-catabolic athari.

    Kulimbitsa Thupi

    Komabe, insulin ndi mankhwala amphamvu kwambiri, omwe sayenera kugwiritsidwa ntchito ndi katswiri wa novice. Ndipo chifukwa chake izi ndizovuta zomwe zingakuchitikireni ngati mugwiritsa ntchito molakwika! Ine.e. imfa yotheka.

    Chofunika kwambiri Ubwino wa INSULIN ndikuti ndi TRANSPORT HORMONE. Insulin imafikitsa michere m'maselo.

    Tsopano tikulankhula makamaka za Glucose (chakudya), ma amino acid (mapuloteni) pamodzi ndi ma triglycerides (mafuta) zimadaliranso ntchito ya mahomoni awa.

    Kuti mumvetsetse zenizeni za ntchito ya insulini, lingalirani michere yonse itatu m'thupi lanu.

    KUTHANDIZA KWA INSULIN:

    1. CARBOHYDRATE = mphamvu zowonjezera
    2. PROTEIN = kukula kwa minofu
    3. FAT = kukula kwamafuta

    Kutengera izi, zikuwonekeratu kuti insulini imatha kuthandizira onse malinga ndi kuchuluka kwa minofu, komanso "kuthandizira" pankhani ya kuchuluka kwa mafuta. Koma zimatengera zinthu ziwiri:

    • CHITSANZO CHAMODZI (mapuloteni ochulukirapo m'zakudya ndi mafuta ochepa, zopindulitsa zambiri)
    • A ZENENZO zanu (mtundu wamtundu) (munthu akayamba kunenepa kwambiri, insulin ingamuvulaze)

    Insulin imanyamula ZONSE. Koma amatha kugwira ntchito "munjira zosiyanasiyana" (ma accents). Mwinanso kwambiri panjira ya anabolism ya minofu (kukula). Kapena mwina panjirayi kukula kwa mafuta m'thupi.Ndipo kuti mupeze imodzi, kupatula inayo ndi KUSANTHA! Ine.e. padzakhala kukula kwa minofu ndi kukula kwamafuta mulimonse.

    Koma, ngati muli mwachilengedwe ECTOMORPH (palibe mafuta m'thupi, mafupa owonda), ndiye kuti insulini idzakuthandizani kuposa kuvulaza, chifukwa mwachepetsa insulini. Kumbali inayi, ngati muli a ENDOMORPH (muli ndi mafuta, m'mimba, muli ndi mafupa akulu, mumapeza mafuta ochulukirapo), ndiye kuti mwakulitsa kukana kwa insulini ndipo sizomveka kugwiritsa ntchito, mwachidziwitso.

    Zotsatira za insulin

    Insulin ili ndi zovuta zambiri, magulu akulu ndi:

    1. Zotsatira za anabolic
    2. Anti-catabolic zotsatira
    3. Mphamvu ya masabolic

    Zotsatira za insulin

    Insulin imathandizira kuyamwa kwa amino acid ndi maselo amisempha, makamaka leucine ndi valine.

    Zimathandizanso Kubwereza kwa DNA ndi mapuloteni a biosynthesis, mayendedwe a magnesium, phosphate ndi potaziyamu mu cell, kumathandizanso kaphatikizidwe kazinthu zamafuta ndi kuyerekeza kwawo kotsatira mu minyewa ya adipose ndi chiwindi, insulini imalimbikitsa kutembenuka kwa glucose kukhala triglycerides, ndipo pakakhala kusowa kwa insulin, zotsutsana ndizowona - kulimbikitsa mafuta.

    Mphamvu ya insulin

    Insulin imalepheretsa mapuloteni hydrolysis, i.e. amachepetsa kuchepa kwa mapuloteni, komanso amachepetsa lipolysis, i.e. amachepetsa kudya kwamafuta m'magazi.

    Zotsatira za metabolism za insulin

    Insulin imayendetsa ma enzymes ofunikira a glycolysis, imakulitsa kuphatikizidwa kwa glucose ndi maselo a minofu, kukula kwa kapangidwe ka glycogen ndi zinthu zina, komanso kumachepetsa kukula kwa gluconeogenesis (i.e., kumachepetsa kupanga kwa glucose m'chiwindi).

    Ndikuganiza kuti sikofunikira kulemba zambiri pazonsezi, chifukwa kuthekera kwakuti anthu ali ndi chidwi ndikuti amvetsetse ndizopanda tanthauzo. Chifukwa chake, ndikupangira kusamukira ku gawo lokambirana kwambiri lero.

    Kulimbitsa Thupi

    Munkhani yokhudza matenda ashuga komanso masewera, ndachita kale gawo loyambira, i.e. Adanenanso mitundu ya insulini yomwe ili ndi odwala matenda ashuga komanso yopanga thupi. Lero tikambirana zonsezi mwanjira yatsopano.

    Pomanga thupi, yochepa komanso ya ultrashort insulin imagwiritsidwa ntchito.

    Mwachidule kuchita insulin

    Insulin yochepa imayamba kugwira ntchito ndi jakisoni wokhazikika (jekeseni) pambuyo pa mphindi 30 (imaperekedwa kwa mphindi 30 asanadye), nsonga ya chochitikacho imachitika patatha maola 2 jekeseni itatha, ndikuzimiririka ndi thupi laumunthu itatha maola 5-6.

    Chisankho chabwino apa ndi: ACTAPID NM kapena HUMULIN REGULAR.

    Ultra Yokhala-Mwachidule Insulin

    Ultrashort insulini imayamba kugwira ntchito nthawi yomweyo, pafupifupi mphindi 5 mpaka 10, nsonga ya kuchitapo kanthu imachitika pambuyo pa maola 2, ndipo imazimiririka thupi laumunthu itatha maola 3-4. Insulin yamtunduwu imayendetsedwa musanadye nthawi yomweyo (chabwino, kapena m'mphindi 5 mpaka 10) kapena mukangodya. Zilibe kanthu.

    Chisankho chabwino apa ndi: NOVORAPID Penfill kapena NOVORAPID Flexpen.

    Kwa ndalama, kosi ya miyezi iwiri ingawononge ndalama pafupifupi ma ruble 2000-3000.

    Kodi zabwino ndi zovuta za insulini ndi ziti?

    Mapindu ake ndi awa:

    1. Osatinso mtengo wokwera mtengo
    2. Mitundu yapamwamba (nsomba siziphatikizidwa, mosiyana ndi anabolic steroids)
    3. Kupezeka (mutha kugula ku malo ogulitsa mankhwala osawopa kugwidwa, mosiyana ndi ma steroid)
    4. Ili ndi tanthauzo la anabolic
    5. Kuchuluka kwamavuto obwera chifukwa (zina pambuyo pake)
    6. Pafupifupi palibe zotsatira zoyipa
    7. Kubwezeretsa kochepa
    8. Ndizotheka kuphatikiza ndi ma steroid ndi zinthu zina
    9. Kuperewera kwa androgynous thupi
    10. Insulin ilibe poizoni pachiwindi kapena impso, ndipo siyimayambitsa mavuto a potency.

    Zoyipa zake ndi izi:

    1. Hypoglycemia
    2. Kulemera kwakukulu kwamafuta pamaphunziro onse
    3. Regimens yovuta

    Zotsatira zoyipa

    1.

    Apanso hypoglycemia: Manja amayamba kugwedezeka, manja okha ndi miyendo yonse imayamba kugwedezeka, kuponyera thukuta, mumayamba kumva tanthauzo lenileni la mawu (chikumbumtima ngati nkhungu) pamavuto ambiri ndi kulumikizana komanso kuyang'ana malo, kumveka kumva njala kumachitika, mtima umayamba kugunda mwachangu (monga sichikutuluka) mwachidule, umazindikira mwadzidzidzi hypoglycemia modzidzimutsa.

    Chofunikira kwambiri: ngati mukumva zizindikiro zilizonse ndipo ngati zoterezi zachitika, muyenera kuzipewa mwachangu potenga shuga msanga momwe mungathere.

    2. Nthawi zina kuyabwa m'jekeseni - M'malo mwake, awa ndi zinyalala, osati msewu wammbali.

    3.Allergy - pafupifupi sizimachitika, koma nthawi zina zimachitika.

    4. Zimachitika kutsika kwa amkati katulutsidwe ka insulinIzi ndi zokhazo kwa iwo omwe akhala akupanga insulin kwa nthawi yayitali ndikugwiritsa ntchito milingo yayikulu kapena amagwiritsa ntchito mitundu yayitali ya insulin (monga protafan).

    Mapulogalamu a insulin

    Chifukwa chake, tapeza kale kuti ndi insulin iti kuti musankhe, ngati mwayiwaliratu, werengani pamwambapa.

    Maphunzirowa amatenga miyezi 1-2, pambuyo pake ndikofunikira kupuma kuti mubwezeretsenso chinsinsi chake. Kutsatira maphunzirowa, mutha kupeza minofu 5-10 (m'miyezi iwiri yomweyo).

    Mlingo waukulu osavomerezeka, Ndikofunika KWAMBIRI kuti ndiyambe ndi milingo yaying'ono (mayunitsi awiri, subcutaneously) ndikuwonjezera pang'onopang'ono mayunitsi awiri ndi zina mpaka 15-20, sizolimbikitsidwanso.

    PEMBEDZANI KWA AZIDZI AWIRI:

    1. Pang'onopang'ono yambani ndi milingo yaying'ono (mayunitsi awiri aliyense) ndipo pang'onopang'ono muwonjezere ziwalo ziwiri chilichonse mpaka mutafika pa 20. PENANI ZOSAVUTA KUTENGA 5 AU 10, NDIPO POPHUNZITSITSA TSOPANO 20. Osatero. Nditha kuyitanira anthu otere opusa, pepani pofotokoza.
    2. ASATSITSE FRAME (magawo 20). POSAfunika aliyense wakukuuzani (pa intaneti, olimbitsa thupi amaphatikizanso mayunitsi 50, osamvetsera ma morons awa).

    Pafupipafupi jakisoni ndibwino tsiku lililonse, koma ndizotheka tsiku lililonse, komanso kawiri patsiku.Komabe, pankhaniyi, maphunzirowa ayenera kukhala otsika kwambiri (i.e. mwezi umodzi), kapena ngati mungachite tsiku lina lililonse, mutha kuthamangira miyezi iwiri.

    Ndikulimbikitsidwa kupereka jakisoni - mutaphunzitsidwandiye kudya chakudya chochuluka. Ndikofunikira kuchita mukangomaliza maphunziro, chifukwa insulin imakhala ndi anti-catabolic athari, i.e. imalepheretsa njira za catabolic zomwe zimayambitsidwa ndi zolimbitsa thupi panthawi yophunzitsira.

    Dziwinso kuti kugwiritsa ntchito insulin pambuyo pophunzitsidwa kumakhala ndiubwino wina: kubweretsa thupi ku zizindikiro za hypoglycemia, zomwe zimayambitsidwa ndi kukhazikitsidwa kwa insulin yakale, imayatsidwa kwambiri pakuchepa kwa shuga m'magazi (mukayamba kulimba ndi chitsulo), izi zimapangitsa kuti timadzi timene timatulutsidwa m'magazi. kukula.

    Nthawi zina masana, sibwino kupaka insulin, koma ngati mumachita masewera olimbitsa thupi tsiku lililonse (mwachitsanzo, Mon, Wed, Fri) ndi Tue. Thu. Sat - mpumulo (i.e palibe maphunziro) ndizomveka kupereka jakisoni m'mawa (tisanadye chakudya cham'mawa) masiku awa (Tue. Thu. Sat i.e.

    Pakakhala kuti mulibe maphunziro) pamenepa tikulimbikitsidwa kugwiritsa ntchito insulin yochepa (mwachitsanzo, ACTAPID) ndikudya mphindi 30 pambuyo pa kubayidwa. Ndipo masiku ophunzitsira, pokhapokha mutaphunzitsidwa.

    MALANGIZO:Ngati mungabaye tsiku lililonse, ndiye kuti maphunzirowa amatenga mwezi umodzi (osatinso), ngati tsiku lina lililonse (ili ndi boma lolimbikitsa), maphunzirowa amatha miyezi iwiri. Pamasiku ophunzitsira - pambuyo pophunzitsidwa (njira yayifupi kwambiri, mwachitsanzo NOVORAPID), pamasiku opumula - m'mawa (kachitidwe kochepa, mwachitsanzo, ACTRAPID).

    1. Ngati mumagwiritsa ntchito insulin yocheperako (actrapid ndi yovomerezeka) ndiye kuti muzipaka jakisoni mphindi 30 musanadye chakudya chokwanira.
    2. Ngati mumagwiritsa ntchito insulini yochepa kwambiri (mwachitsanzo wa novorpid) ndiye kuti muperekeni jakisoni mukatha kudya.

    Kuti pasakhale kuyabwa ndi zinyalala zina ngati zamanjenje m'mafuta amkati (kuti khungu lisawume, ndi ma kampu ena asawonekere) - perekani jakisoni m'malo osiyanasiyana.

    Komanso muyenera kudziwa kuti 1 unit ya insulin - muyenera kumwa 10 g wamafuta (izi zikuthandizani kuwerengetsa kuchuluka kwa kubayirira insulin kenako kudya).

    Zolakwika ndi Kusamala Mukugwiritsa Ntchito Insulin

    1. Monga ndidanenera kale, ngati mutayamba maphunzirowo ndi Mlingo wocheperako, mayunitsi 2-5 ndikuwonjezera pang'onopang'ono, kuti muwone momwe thupi limachitikira.
    2. Pakani pang'onopang'ono (tenga khungu ndi mazira

    Chifukwa ndi momwe mungatengere insulin pomanga thupi

    Nkhaniyi ikuyang'ana kwambiri pa mankhwala amphamvu kwambiri komanso owopsa a anabolic - insulin. Kupanga kwa timadzi tating'onoting'ono, momwe thupi limagwirira ntchito, kayendetsedwe ka kayendetsedwe kake, zotsatira zoyipa ndi mfundo zofunika kugwiritsa ntchito insulin monga kutulutsa magazi.

    Insulin ndi timadzi tambiri timene timapanga protein timene timayambitsa magazi. Hormoni imatulutsidwa m'magazi ndi maselo apadera otchedwa beta cell.

    Chochita chilichonse chimakhala ndi zotsatira zosiyana pakuchulukitsa shuga, chifukwa chake, chimakhala ndi gawo lina la kutulutsidwa kwa insulin mthupi.Hormone iyi imakhudza thupi lonse. Cholinga chachikulu cha insulin ndikuchepetsa magazi.

    Zotsatira za insulin ndipo zimagwira bwanji?

    Mphamvu ya masabolic

    Ntchito ina yofunika ndikuwongolera kagayidwe kazakudya zamafuta ndi mafuta omwe amachokera mu chakudya. Kuphatikiza apo, insulin ili ndi zovuta zina zingapo za metabolic, mwachitsanzo, kuthetsedwa kwa kuwonongeka kwa mapuloteni ndi mafuta. Insulin imagwira tandem ndi glucagon, mahomoni ena opangidwa ndi kapamba.

    Ngakhale gawo la insulin ndikuchepetsa shuga m'magazi ngati kuli kofunikira, gawo la glucagon ndikuwonjezera shuga m'magazi ngati atsika kwambiri. Dongosolo loterolo limathandiza kuchuluka kwa shuga m'magazi kukhalabe m'malire oyenera, omwe amalola thupi kugwira ntchito moyenera.

    Insulin imalimbikitsa kuphatikiza kwamadzi ndi michere yambiri m'maselo, omwe pawokha amawonjezera kwambiri zotsatira za anabolic. Njira imeneyi imatambasulira ziwalo zam'mimba, ngati mpweya mu balloon.

    Njirayi imathandizanso kupanga njira inanso yakukula kwamphamvu, ndikuwonjezera kupanga IGF-1 ndi MGF (insulini-kukula kwa chinthu ndi kukula kwa makina). Makina awa, chifukwa cha synergistic zotsatira, amapereka mphamvu ya anabolic kwambiri.

    Chifukwa cha insulin, kuyamwa kwa amino acid kumakulanso.

    Anti-catabolic zotsatira

    Chofunikira pakusunga minofu ndikuchepetsa kuwonongeka kwa mapuloteni, ndiko kuti, kuwonongeka kwawo. Kuphatikiza apo, insulin imachepetsa kudya kwamafuta m'magazi, mwachitsanzo, imalepheretsa kuwonongeka kwa mafuta.

    Zotsatira zoyipa

    Kuchuluka kwa insulin kumapangitsa kuchuluka kwa glucose m'magazi kumakhala kwambiri, komwe kumayambitsa madzi osowa, ndipo choyipa kwambiri ndikuti maselo sangatenge glucose ngati mphamvu.

    Magawo ena (monga mafuta ndi minofu) amafunikira kuti apereke mphamvu. Izi zimatopa thupi ndipo zimatha kutsitsa thupi kwambiri.

    Mapeto ake, izi zimatha kubweretsa kukomoka komanso kufa.

    Kugwiritsa ntchito insulin nthawi yayitali komanso kusaphunzira kungayambitse matenda a shuga.

    Chododometsa china chachikulu cha insulin ndi kuwonjezeka kwa maselo amafuta. Adipose minofu ndi malo akuluakulu a ntchito ya aromatase enzyme, yomwe mwa iyo yokha imayambitsa vuto la kuchuluka kwa mafuta.

    Ma AAS ambiri (anabolic / androgenic steroid) amatha kuwonongeka chifukwa cha kusintha kwa enomole ya aromatase kukhala estrogen, monga endogenous yopangidwa (yopangidwa mkati mwa thupi) androgens, monga testosterone. Mwachidziwikire, kuchuluka kwakukulu ndi ntchito ya mphamvuyi yomwe ilipo m'thupi, ndizowonjezereka komanso kuchuluka kwa kununkhira.

    Estrogen imangobadwa mwachindunji pamlingo wocheperako wa minofu minofu, koma mwatsoka, imakhala ndi anabolic kwambiri minofu ya adipose. Estrogen ndi mahomoni omwe amayambitsa mafuta amthupi amtundu. Chifukwa chake, kuchuluka kwakukulu kwa adipose minofu ya insulin kumabweretsa mphamvu yosunga minofu ya adipose.

    Kodi ndi insulin yotani yomwe imagwiritsidwa ntchito pomanga thupi?

    Insulin yochepa:

    • Zochitika mu mphindi 30
    • ziyenera kuperekedwa kwa mphindi 30 mpaka 40 chakudya chisanafike,
    • pachimake mu 2 hours
    • kusowa kwa chochita pambuyo pa maola 5-6.

    Ultrashort insulin:

    • chochitikachi chimayamba pakadutsa mphindi 15 kuchokera pakukhazikitsa,
    • kuyambitsa ndikofunikira mphindi 10 chakudya chisanafike,
    • pachimake mu ola lachiwiri,
    • kusowa kwa chochita pambuyo maola 3-4.

    Maphunziro a miyezi 1-2

    Yang'anani! Osapitilira muyeso!

    Ndikulimbikitsidwa kuperekera mankhwalawa tsiku lililonse. Lowani pang'onopang'ono ndi 2 UNITS ya insulin musanadye, kutengera mtundu wa chochitikacho, ndikuyang'ana momwe angachitire. Mtsogolomo, ngati mawonekedwe a anabolic saonekera kwa nthawi yayitali, onjezani mlingo, mulingo sayenera kupitirira 20 magawo.

    Zolakwika zazikulu pakutenga ndi malingaliro pazabwino kwambiri:

    • osagwiritsa ntchito mankhwalawa usiku,
    • osapitilira muyeso
    • osagwiritsa ntchito mankhwalawa musanayambe kuchita masewera olimbitsa thupi,
    • onetsetsani kuti mwadya zakudya zopatsa mphamvu pambuyo pa insulin
    • mankhwalawa amalowetsedwa pakhungu ndi insulin, osati kudzera m'mitsempha.

    Chakudya pambuyo jakisoni

    Zakudya zopatsa thanzi ziyenera kukhala ndi mafuta ambiri. Makina ovuta bwino omwe amakhala ndi chisonyezo chotsika cha glycemic, chifukwa, onani magome azinthu za GI. Pa gawo limodzi la insulin, muyenera kudya 10 g ya chakudya chopatsa mphamvu. Kuti mupeze chakudya chamafuta anu a tsiku ndi tsiku azakulemera, onjezerani kulemera kwanu ndi 4.

    Zochita za insulin

    Insulin imakhudzanso zovuta za metabolic mu zimakhala zathupi. M'malo mothandizidwa ndi odwala matenda ashuga, ntchito yake yayikulu ndikuchepetsa shuga m'magazi ndikutchingira kufa ndi minyewa komanso kukonza mafuta amthupi ndi minofu kukhala magwero amagetsi. M'masewera, mphamvu ya insulin ya insulin imayamikiridwa - i.e. kuthekera kwake kwothamangitsa kaphatikizidwe ka mapuloteni (minofu minofu).

    Mwachilengedwe, insulini ndi peptide yokhala ndi mitundu iwiri. Poyamba, ngati ribosomes imatulutsa, mawonekedwe ake amakhala ndi maunyolo awiri, komabe, zotsalira zopanda ntchito zomwe zimasiyana pokhapokha membrane wa lipid akapita ndipo insulin ikacha mu ma Golgi. Minofu ya endocrine pancreatic imayang'anira ntchito yosunga mahomoni ndi katulutsidwe - zotchedwa zilumba za Langerhans.

    Ubwino waukulu wa insulin ndikuti ndi mahomoni a mayendedwe, i.e. Kutha kukopa kagayidwe kazakudya zingapo zofunika kuti pakhale thupi, osangoletsa chakudya chokhacho.

    Insulin yomanga imagwiritsidwa ntchito pazinthu zingapo:

    • kukondoweza kwa kaphatikizidwe kazakudya zama protein ndi minofu,
    • Kuchepetsa gluconeogeneis (kapangidwe ka glucose wama protein ndi mafuta),
    • kuthamangitsa kuchuluka kwa chakudya chamafuta mu chiwindi ndi minofu chifukwa cha kupukutika kwa glucose mu glycogen (izi zimapatsa wothamanga mphamvu ndipo, potero, amachepetsa kuchepa kwama minofu).
    • kuchuluka kwa mayamwidwe am michere yambiri ndi maselo amthupi (makamaka glucose ndi amino acid).

    Tsoka ilo, mphamvu ya anabulin ya insulini imawonetsedwa osati pakumanga kwamapuloteni, komanso pakupanga minofu ya adipose. Kukhazikika kwa mafuta acids komanso kuletsa kwawo kulowa m'magazi kumatsutsa kukula kwamafuta. Izi zimapangitsa kuti insulin isagwire bwino ntchito musanapikisane.

    Pang'onopang'ono, mphamvu ya kudzikundikira kwamafuta imalipidwa ndi kutulutsidwa kwa ma cell a insulin. Amatulutsidwa poyankha kutsika kwakukulu kwa kuchuluka kwa shuga m'magazi ndipo ali ndi zotsatira zotsutsana ndi insulin - kumawonjezera gluconeogeneis.

    Kugwiritsa ntchito bwino kwambiri kwa insulin mu thupi la asthenic komanso kuphatikiza ndi anabolic steroids. Anthu omwe amakonda kudzala (endomorphs) amagwiritsa ntchito timadzi tating'onoting'ono monga anabolic mankhwala.

    Kodi insulin ndi chiyani?

    Insulin ndi mahomoni omwe amapangidwa mu kapamba ndipo amagwira ntchito zosiyanasiyana zomwe zimapangira limodzi kuti ikhale imodzi yofunikira, ngati sichofunikira kwambiri, anabolic timadzi m'thupi la munthu.

    Insulin imayendetsa kagayidwe kazakudya zamafuta, mafuta ndi mapuloteni m'thupi.

    Ntchito yayikulu ya insulin m'thupi ndi kukhalabe ndi shuga komanso khazikika m'magazi. Pakukonzekera kwake, kutengera nyengo zina (onani pansipa), mikhalidwe yabwino imapangidwa kuti ikule minofu kapena kuwonjezera kuchuluka kwa mafuta m'thupi.

    Kuphatikiza apo, insulin yokha zimakhudza kapangidwe kazakudya zomanga thupi mthupi, kuphatikiza minofu, kumathandizira kukula kwambiri kwa minofu.

    Kuperewera kwa insulin kumakhala ndi zotsatira zotsutsana - catabolic, i.e. kumabweretsa kuwonongedwa kwa minofu.

    Insulin ndi imodzi mwa anabolic kwambiri, i.e. opindulitsa kukula kwa minofu, mahomoni m'thupi la munthu.Imawongolera kagayidwe kazakudya zamafuta, mafuta ndi mapuloteni, zomwe zimapangitsa kukula kwa minofu komanso.

    Insulin m'masewera ndi zomanga thupi

    Pomanga thupi, mphamvu ya anabolic ya insulin, i.e. kuthekera kwake kuonjezera mphamvu ya machitidwe omwe amakhudza mwachindunji kukula kwa minofu.

    Mphamvu zake za anabolic mwina ndizolimba kuposa za mahomoni okula.

    Malinga ndi gulu la WADA (World Anti-Doping Agency), insulin ndi mankhwala osokoneza bongo omwe amaletsedwa kugwiritsa ntchito, koma amodzi mwa odziwika kwambiri mwa akatswiri komanso okonda zolimbitsa thupi.

    "Sangawonekere pamayeso oyeserera. Amangoyendetsa bwino masewera othamanga. Ikhoza kupha." - Ndiye ayamba nkhani yonena za insulini pa amodzi a tsamba.

    Kugwiritsa ntchito insulini m'masewera ndi imodzi mwazinthu zakumaliza. Omanga a thupi nthawi zambiri amachigwiritsa ntchito kuphatikiza ndi ma steroid ndi mahomoni okula kuti achulukitse minofu komanso kuthana ndi phokoso lakuthupi pakuchuluka. Akuyerekeza kuti m'modzi mwa anayi omwe ali ndi ma bodybuilders amakhalanso amatenga insulini. Ichi ndi chinsinsi cha kukula kopambana.

    Insulin imathandiza kupulumutsa miyoyo ya anthu odwala matenda ashuga. Gwiritsani ntchito ndi anthu athanzi (= othamanga) atha kutha chikomokere ndi imfa.

    Pomanga thupi, insulini imathandizira kudzaza minofu ndi mphamvu ndi michere pakuchita masewera olimbitsa thupi kwambiri, kupewa minofu catabolism.

    Komiti ya Olimpiki Yadziko Lonse zoletsa ntchito. Ngakhale ndi m'modzi mwa ochepa omwe amapanga mankhwala omwe zosatheka kuzindikira. Omanga ma bodybuilder ambiri amatenga mpikisano pomwe amayesedwa.

    M'masewera, insulin nthawi zambiri imagwiritsidwa ntchito limodzi ndi steroids ndi mahomoni okula kuti athane ndi phokoso lakuthupi pakulemera. Mphamvu yake ya anabolic, mwina yolimba kuposa ya mahomoni okula

    Limagwirira a zochita za insulin yomanga minofu misa polimbitsa thupi

    Pomanga thupi, insulin imagwiritsidwa ntchito kuwonjezera mphamvu ndikumanga minofu.

    Tikadya china chake chokoma, insulini imabisidwa ndi kapamba ndipo imathandizira kulowetsedwa kwa glucose m'maselo (kuphatikiza minofu) kuti agwiritse ntchito ngati mphamvu.

    Zambiri za anabulin za insulin zimafotokozedwa ndikuti kuwonjezera pa shuga, zimapereka bwino ma amino acid (= zomangamanga) ndi michere ina m'maselo a minofu ndikuthandizira kaphatikizidwe kazakudya zama protein.

    Glucose ndi molekyu yamphamvu. Ngati kuphatikiza kwake m'magazi kupitirira mphamvu yomwe ilipo ya thupi, ndiye kuti imasinthidwa kukhala glycogen. Glycogen ndi nkhokwe yosungira mphamvu yomwe "imatseguka" mutagwiritsa ntchito shuga m'magazi ndipo imagwiritsidwa ntchito kupatsa mphamvu minofu pochita masewera olimbitsa thupi.

    Dr Sonksen wa pachipatala cha St Thomas ku London, m'nkhani yake yokhudza kugwiritsidwa ntchito kwa mahomoni a kukula ndi insulin m'masewera, akuti: "Popeza m'masewera ambiri, zotsatira zake zimatsimikiziridwa ndi kuchuluka kwa glycogen m'misempha, kuchuluka kwake kumakhudza mwachindunji zotsatira zake".

    Kuchita kwa insulin pakumanga minofu yambiri pakulimbitsa thupi kukufotokozedwa ndi njira zotsatirazi:

    1 Insulin imathandizira kapangidwe kazakudya zomanga thupi

    Insulin imalimbikitsa kaphatikizidwe kazakudya (ndipo chifukwa chake kukula kwa minofu).

    Minofu imapangidwa ndi mapuloteni amtundu. Mapuloteni awa amapangidwa ndi ribosomes. Limagwirira mapuloteni synthesis ndi ribosomes amayamba ndi insulin. (Malinga ndi Wikipedia, ribosomes ndi makina osokoneza bongo omwe mauthenga amomwe amapanga mapuloteni amalembedwa ngati cipher.)

    M'modzi mwa asayansi amafotokoza izi:

    "Sizikudziwika bwinobwino, koma insulin imayambitsa makina a protein.Popanda kukhalapo, nthitizo zimangosiya kugwira ntchito, ngati kuti akusinthana. ”

    Kodi izi zikutanthauza kuti insulini "imathandizira" kupanga minofu? Ayi. Izi zikutanthauza kuti popanda insulini izi sizotheka.

    Insulin sikuti imangolimbikitsa kukulitsa minofu .. popanda iyo, ndizosatheka

    2 Insulini imalepheretsa minyewa kugaya

    Ntchito ina ya insulin ndiyothandiza pakupanga thupi - imalepheretsa kuwonongeka kwa minofu. Ntchito yake yotsutsa-catabolic ndiyofunika kwambiri kuti phindu lochulukirapo lipangidwe ndi zotsatira zake za anabolic.

    Tsiku lililonse, thupi lathu limapanga ndi kuwononga mapuloteni. Kuti mukhale ndi minofu yambiri, mapuloteni ambiri amapangidwa kuposa kuwonongeka. Insulin imathandizira kuti izi zisunthike m'njira yoyenera, zimapangitsa kuti ma amino acid akhale ndi masipu amtundu wa minofu.

    4 Insulin imakulitsa kaphatikizidwe ka glycogen, ndikupangitsa minofu kukhala yopanda mphamvu

    Insulin imawonjezera ntchito ya ma enzyme ena omwe amalimbikitsa kapangidwe ka glycogen. Izi zikutanthauza kuti zimathandiza kusunga glucose m'maselo a minofu, potero kusintha kukhathamira, kuchira, komanso, kukula kukula kwa minofu.

    Kukhazikika kwa glycogen mu minofu kumapangitsa kuti iwonongeke komanso kuti ikhale yopanda mphamvu, chifukwa imasunga madzi: gramu iliyonse ya glycogen "imamanga" pafupifupi 2,7 magalamu amadzi.

    Insulin imapangitsa kuti glycogen ichulukane, yomwe imapangitsa kuti ikhale yofinya komanso yolimba chifukwa chosungidwa ndi madzi ambiri mwa iwo

    Ndi anabolic katundu wa insulin popanga thupi osanjidwa. Tsopano tiyeni tiwone mbali ina ya ndalama ija ..

    Kugwiritsa ntchito insulin pomanga thupi: momwe amachepetsa thupi

    Makina omwewo omwe amafotokozera za anabulin za insulin ndi chifukwa china, koma zoipa zoyipa zomwe amagwiritsa ntchito pakupanga thupi - seti mafuta ochuluka.

    Tikamadya chakudya chambiri komanso malo ogulitsira a glycogen m'chiwindi ndipo minofu imadzaza, ndiye kuti magazi owonjezera amatumizidwa kudzera ku insulin m'misika yamafuta.

    Ine.e. Pamodzi ndi kukondoweza kwa kukula kwa minofu, insulin imathandizira njira ya lipogenesis (kupanga kwamafuta).

    Izi ndizofunikira kwambiri pamasewera omwe magulu amalemera amakhudzidwa: mukamagwiritsa ntchito insulin, mutha kuthana ndi gulu lanu.

    Limagwirira a zochita za insulin mu gulu la mafuta ndi motere:

    1 Insulini amasintha chakudya chopatsa mphamvu kukhala mafuta

    Zakudya zomanga thupi, makamaka glucose, ndiye gwero lalikulu lamphamvu la maselo.

    Insulin "imatsegula" ma cell a cell kuti alowe glucose kulowa nawo.

    Ngati pali shuga wambiri m'magazi, ndiye kuti mphamvu zake zochulukirapo pazomwe zimafunikira mphamvu zimasungidwa koyamba m'masitolo a glycogen m'chiwindi ndi m'misempha, ndipo zitatha, zimasungidwa m'mafuta.

    2 Insulin imaletsa kugwiritsa ntchito mafuta mphamvu

    Ntchito yayikulu ya insulin ndikupereka mphamvu kudzera mu chakudya, osati mafuta. Zakudya zomanga thupi (glucose) ndizomwe zimapatsa mphamvu maselo onse.

    Izi zikutanthauza kuti ngakhale kuli ma carbohydrate mu dongosolo, mphamvu yogwiritsira ntchito maselo idzachotsedwa kwa iwo, ndipo malo ogulitsa mafuta amakhalabe otsekeka.

    Zakudya zina zochepetsa thupi zimakhazikika pakugwiritsa ntchito mfundo iyi kuyambitsa njira yopsereza mafuta. Makamaka, kusala kudya kwakanthawi ndi zakudya za ketogenic.

    Pakusala kudya kwakanthawi, chakudya chimangodya pawindo la maola 8 masana. Zotsatira zakuletsedwa koteroko kwakanthawi komwe kumaloledwa kudya ndikumachotsa zonse m'masitolo a glycogen kwa maola 16 otsala masana ndi kuyamba kwa kugwiritsa ntchito mafuta mphamvu.

    Pazakudya za ketogenic, zakudya zamafuta zimatha kuchotsedwa kwathunthu pachakudya, chifukwa chomwe glycogen m'masitolo nthawi zonse imakhala yopanda kanthu ndipo thupi ndilibe chochita koma kuwotcha mafuta mphamvu.

    3 Insulin imaletsa zochita za enzyme yomwe imapangitsa kuti mafuta azitentha

    Enzyme iyi imatchedwa lipase yokhala ndi ma cell ndipo ali ndi udindo wothyola mamolekyulu amafuta.

    Kuwotcha mafuta nthawi zonse kumayamba ndi kuthyolako kwake mpaka kufika pamlingo wamafuta acids, omwe amagwiritsidwa ntchito mphamvu. Mwachidziwikire, kuphwanya gawo loyamba kumalepheretsa kuchepetsa thupi.

    4 Insulin imalimbikitsa mafuta achilengedwe

    Insulin imachulukitsa kapangidwe ka mafuta m'thupi la chiwindi, komwe kumayambitsa njira ya lipogenesis kapena kupanga mafuta m'thupi.

    Kuchuluka kwa insulin kumapangitsa kuti thupi lichepe. Zimaletsa kugwiritsa ntchito mafuta mphamvu, zimalimbikitsa mapangidwe ndi kudzikundikira kwamafuta

    Momwe mungagwiritsire ntchito insulin pomanga thupi kuti muchepetse thupi kapena kuchepa thupi (popanda mankhwala)?

    Pali njira ziwiri zogwiritsira ntchito insulin momwe mungapangire insulin pomanga thupi: pomanga zakudya zoyenera ndi jakisoni.

    Popeza kutulutsidwa kwa insulin ndiko kuyankha kwa thupi pakugwiritsa ntchito chakudya, poika zomwe zili mu chakudya, mutha kuwongolera kuchuluka kwa insulin: mukafunikira kuukweza, komanso nthawi yomwe muyenera kutsitsa.

    Kukonzekera kwa insulin kovomerezeka kumagwiritsidwa ntchito popanga thupi pazofunikira zazikulu komanso zachangu kwambiri pamlingo wamagazi ake panthawi yovuta ya izi.

    Minofu Gain Insulin

    Kuonetsetsa kukula kwa minofu, ndikofunikira kuonetsetsa kuti insulin yayitali m'magazi tsiku lonse, ndipo makamaka panthawi, isanachitike komanso itangotha ​​kumene.

    Ndiye chifukwa chake, molingana ndi mfundo za zakudya zoyenera kuti mupeze minofu yambiri, chakudya chamafuta sichili chofunikira kwambiri kuposa mapuloteni, ngakhale mawonekedwe osiyanako ali ponseponse, malinga ndi momwe mapuloteni okha ndi omwe amachititsa kuti anthu azichita zambiri, ndipo zakudya zopatsa mphamvu ndi kanthu kena kamene kamayenera kuchepetsedwa m'njira iliyonse kuti zitheke kupuma.

    Mitundu yambiri ya insulini m'magazi ndiyofunikira kuti mutulutse minofu.

    Kuchepetsa insulin

    Ngati cholinga ndikuchepetsa thupi, ndiye kuti muyenera kutero kuchepetsa kuchuluka kwa insulin masana. Chifukwa chake, zakudya zambiri zimakhazikitsidwa pamfundo ya kupatula kwathunthu kwamatumbo (maswiti).

    Komabe, njira yanzeru ndiyofunikira. "Zocheperako, zabwino" sizikugwira ntchito pano, makamaka kwa anthu olimbitsa thupi.

    Kukhazikika kwa zakudya zamagetsi pamasewera kumathandizira kufooka kwa minofu, kuchepa mphamvu komanso kungayambitsenso minabolati: minofu yambiri imatha ndi mafuta.

    Kuti muchepetse kunenepa, ndikofunikira kuchepetsa kuchuluka kwa insulini m'magazi kuti uthandize kuwotcha kwamafuta, koma popanda kutengeka: insulini ndiyofunika kupewa boma la catabolism ndikupereka mphamvu yophunzitsira

    Zotsatira za anabolic

    Mothandizidwa ndi insulin, maselo am'mimba amayamba kuyamwa kwambiri ma amino acid, makamaka leucine ndi valine. Palinso kuwonjezeka kwa kubwereza kwa DNA ndi mapuloteni a biosynthesis, kulowa kwa ma magnesium, potaziyamu ndi phosphate ion m'maselo kumayendetsedwa, kupanga ma acid acid ndi kuphatikizanso kwina kwawo kukhala minofu ya adipose komanso chiwindi chimalimbikitsidwa. Insulin imathandizanso kusintha kwa glucose kukhala triglycerides. Ngati timadzi tosakwanira, ndiye kuti tikulimbana ndi mafuta amayamba.

    Kugwiritsa ntchito insulin pomanga thupi

    Insulin yomanga thupi ndi ya ultrashort, yochepa komanso yotalika. Pomanga thupi, mitundu iwiri yoyamba imagwiritsidwa ntchito.

    Mwachidule kuchita insulin. Kuchita kwa mtundu uwu wa mahomoni kumayamba patatha mphindi makumi atatu mutatha kuperekedwa kwa subcutaneous. Jekeseni iyenera kuchitidwa theka la ola musanadye. Kuchuluka kwake kumayamba maola awiri jakisoni itatheratu patatha maola asanu kapena asanu ndi limodzi.

    Ultrashort insulin imayamba kuchita pafupifupi nthawi yomweyo, pambuyo pa mphindi zisanu mpaka khumi, nsonga ya kuchitapo kanthu imachitikanso patatha maola awiri, ndipo timadzi timatulutsidwa kwathunthu kuchokera mthupi la munthu patatha maola atatu kapena anayi.Mankhwala amtunduwu amatha kumwedwa musanadye (kwa mphindi 5 mpaka 10) kapena kumwa mwachindunji mukamadya.

    Mapindu ake ndi awa:

    • Mtengo wotsika mtengo
    • zotsimikizika kwambiri (insulin, mosiyana ndi anabolic steroids, kwenikweni siyabodza),
    • Kugula mosavuta, mutha kugula mosamala ku pharmacy,
    • ali ndi tanthauzo lotchedwa anabolic,
    • mwayi wotsika wazotsatira zoyipa
    • palibe zotsatira zochokera pazomwe mungagwiritse ntchito,
    • wofatsa wobwezera
    • kugawana ndi ma steroid ndi mankhwala ena,
    • alibe mphamvu androgenic m'thupi,
    • Palibe zoyipa ku impso ndi chiwindi, ndipo palibe mavuto ndi kugonana kwa amuna.

    Zotsatira zoyipa

    Kutsika kwa shuga m'magazi, komwe kumawonetsedwa ndi thukuta, manja ndi miyendo zimayamba kugwedezeka, chikumbumtima chayamba kusefukira, zovuta zimayamba ndi mawonekedwe amunthuyo mumalo ndi mgwirizano wa mayendedwe, kumverera kwamphamvu kwa njala. Ndikofunikira kwambiri popanga hypoglycemia posachedwa kumwa shuga wamtundu uliwonse kapena kudya chilichonse chotsekemera kuti muchepetse zotsatira zina, ndikubweretsa kuchuluka kwa glucose m'magazi, zomwe zimachitika mwa abambo zimayenera kusamalidwa nthawi zonse.

    Kuyabwa kumachitika m'malo a jakisoni.

    Njira zoyipa sizisowa, koma zimatha kuchitika mwa anthu ena.

    Kukula kwa mankhwala a insulin ndi kapamba. Izi zikhonza kukhala za osewera omwe akhala akugwiritsa ntchito mankhwalawa kwa nthawi yayitali ndipo akudziyikira okha waukulu. Komanso, mitundu yayitali ya insulini (mwachitsanzo protafan) imatha kukhala ndi izi.

    Mapulogalamu a insulin

    Kutalika kwa kugwiritsa ntchito mankhwalawa kuyambira mwezi umodzi mpaka iwiri, kenako ndikofunikira kupuma. Kutsatira lamuloli ndikofunikira, chifukwa kumakupatsani mwayi wobwezera insulin yanu. Pakati pa maphunzirowa, gulu lozungulirapo limachokera ku 5 mpaka 10 kg.

    Mlingo wokulirapo mulimbikitsidwa. Pofuna kuti musavulaze thanzi lanu, ndikofunikira kuyamba kugwiritsa ntchito mankhwalawa ndikulowetsa mayunitsi awiri mosanjira. Pang'onopang'ono, mlingo umatha kubweretsedwa mpaka magawo 15 - 20, kuchuluka kwakukulu sikulimbikitsidwa.

    Ndikofunikira kwambiri kuwona kuchuluka kwa milingo yaying'ono, simungathe kulowa, mwachitsanzo, mayunitsi 5 kapena 10, ndipo pamaphunziro otsatila mwachangu onjezani insulin mpaka magawo 20. Ndikulimbikitsidwa kuti mumagwiritsabe ntchito ma insulin ma insulin. Kuchita izi sikuvomerezeka, chifukwa ndizowopsa thanzi.

    Mfundo ina yomwe imafunikira kuyang'aniridwa mosamalitsa: ziribe kanthu kuti ndani anene, munthu sangathe kupitilira muyeso wamagulu 20. Ena amati palibe choyipa chomwe chingachitike, ngakhale utabaya mankhwala 50, koma kwenikweni, pankhani iyi, zotsatirapo za thupi zitha kukhala zoopsa.

    Majakisoni amatha bwino tsiku lililonse, ngakhale pali njira zina zopangira jakisoni tsiku lililonse, ndipo anthu ena amagwiritsa ntchito insulin ngakhale kawiri patsiku, imalimbikitsidwanso .. Koma pankhaniyi, maphunzirowa ayenera kutsitsidwa kukhala masiku 30. Mukamagwiritsa ntchito mankhwalawa kamodzi pakapita masiku awiri, nthawi yogwiritsira ntchito imatha kukhala miyezi iwiri.

    Ndikofunika kubaya jakisoni pambuyo pakulimbitsa thupi, kenako ndikudya kwambiri. Ndiko kugwiritsa ntchito kwa mahomoniwa komwe kumakhala koyenera chifukwa chakuti insulin imakhala ndi anti-catabolic athari, zomwe zikutanthauza kuti imatha kuletsa njira za catabolism zomwe zimachitika panthawi yochita masewera olimbitsa thupi.

    Palinso maubwino ena ogwiritsira ntchito insulin mutatha kusewera masewera: mukamaphunzitsanso kukweza thupi, kuchepa kwamphamvu kwa glucose m'magazi kumachitika (chifukwa cha kuchuluka kwa mphamvu zamagetsi). Kukhazikitsidwa kwa insulin kuchokera kunja kumapangitsanso kuwonekera kwa hypoglycemia.

    Zotsatira ziwirizi zimadutsa ndipo zimatsogolera kutulukuku kwa mahomoni okula kulowa m'magazi. Nthawi zina masana, sibwino kupaka insulin, koma ngati maphunzirowo akuchitika tsiku lililonse, zimakhala zomveka kupereka jekeseni m'mawa musanadye masiku omwe kulibe maphunziro. Pankhaniyi, tikulimbikitsidwa kugwiritsa ntchito mankhwala osakhalitsa (mwachitsanzo, actrapid) ndikudya chakudya theka la ola mutatha kubaya. Pamasiku ophunzitsira, insulin imayendetsedwa pokhapokha kumaliza maphunziro.

    Chifukwa chiyani omanga thupi amafuna jakisoni wa insulin

    Kwa omanga thupi, mizere ndi minofu yaying'ono ndikofunikira, koma osati mphamvu zawo

    Chifukwa chiyani jekeseni kupopera insulin? Zambiri, zithunzi ndi makanema omwe ali munkhaniyi adangopangidwira amateurs kapena achinyamata (ndi makolo awo) omwe akungokonzekera kuchita masewera olimbitsa thupi kapena kupanga thupi.

    Zofunika! Kafukufuku wasonyeza kuti munthu m'modzi mwa anthu anayi ali ndi insulin - thupi limapereka mayankho osakwanira pazomwe zimachitika mu insulin. Popeza lero kumanga thupi ndi insulin ndizokhazo kuphatikiza kosakhala kwina kulikonse, ndikulimbikitsidwa kuyesedwa ndi mayeso ndi akatswiri othandizira komanso endocrinologist musanayambe maphunziro, ndikuwunikanso kwambiri pa mayina a Miss kapena Mr. Olympia.

    Insulin kwa othamanga omwe akuchita nawo masewera olimbitsa thupi ndi mwayi wowonjezera minofu yochulukirapo muzochitika pamene gawo lachilengedwe la zizindikirozi likwaniritsidwa kale.

    Pomanga thupi, insulin imagwiritsidwa ntchito chifukwa cha zotsatirazi:

    • Zotsatira za anabolic. Chizindikiro chachikulu cha kugwiritsidwa ntchito kwa insulin hormone. Mphamvu ya anabulin ya insulin imakupatsani mwayi wowonjezera minofu:
      1. onjezerani mapuloteni a biosynthesis chifukwa cha kuphatikiza kwa ma amino acid, magnesium ndi phosphate wa potaziyamu ndi maselo amisempha.
      2. konzanso DNA mwachangu
      3. phatikizani kaphatikizidwe ka mafuta acids.
    • Zotsatira zaabolism. Jakisoni wa insulini amatha:
      1. sinthani ndi kuthandizira kuyamwa kwa shuga ndi minofu yamatumbo,
      2. yambitsa zochitika za michere ya glycolysis,
      3. m'magazi a shuga a m'magazi,
      4. amalimbitsa kupanga kwa glycogen m'maselo a minofu.
    • Mphamvu ya anticatabolic. Mphamvu iyi ya jakisoni wa insulin imakupatsani mwayi woponderezera kuwonongeka kwa mapuloteni pamaselo a mamolekyulu, koma mwatsoka, amachepetsa kuchepa kwa mafuta.

    Zambiri. Kuyang'ana matupi otayika a omanga thupi komanso omanga thupi, ziyenera kumveka kuti amapaka insulin kuti apeze minofu yambiri, koma nthawi yomweyo, kulimba kwa minofu yawo sikukula, komabe kumakhala komweko. Chifukwa chake, omanga thupi nthawi zambiri amawayerekezera ndi ma balloon okongola komanso akulu, ndipo enieni enieni okhala ndi mipira yazikopa yodzaza ndi mchenga.

    Ndani angadalire zotsatira zosavuta

    Kutengedwa ndikupanga thupi, ziyenera kukumbukiridwa kuti kukwaniritsa zotsatira kumadalira "abambo ndi amayi." Anthu omwe ali ndi mitundu yosiyanasiyana yowonjezerapo amayankha mosiyana pakayang'anira mahomoni a insulin. Timapereka tebulo lomwe lingakuthandizeni kudziwa mtundu wa malamulo anu ndipo, chifukwa chake, "kutsimikizika" ku zomwe projekitiyi imagwira ndikutsimikizira.

    ChithunziMawonekedwe
    Schwarzenegger - bambo ndi mwana wamwamunaNjira yosavuta yopangira minofu yambiri imakhala mwa anthu omwe amakhala ndi mahomoni ambiri m'thupi. Kumwa mankhwala a insulin sikuwapangitsa kuti achulukane secretion yamafuta.

    Voliyumu imodzimodzi ya lipids yomwe imapangidwa, pambuyo pa kumapeto kwa maphunziro a insulin, imazimiririka mwachangu mothandizidwa ndi zakudya zazing'ono za Cardio komanso zakudya zazifupi, koma zolimba, zotsika mtengo.

    Amadziwika ndi zizindikiro za ectomorphs, koma ndi zovuta zina:

    • kupyola, ndi kukula kupitilira muyeso,
    • "Mitundu yonse"
    • oilness - "kukulitsidwa" mafupa,
    • mbali zazikulu za nkhope yamakona,
    • blush (nthawi zambiri koma osafunikira)
    • khungu lowuma, kusowa kwa ziphuphu ndi ziphuphu.

    Anthu omwe ali ndi thupi lotere amatha kudalira kuchita bwino komanso kuthamanga.

    Flavio Baccianini (kutalika 147 cm)Kwa anthu omwe amakhala ndi serotonin yotsika komanso kuchuluka kwa glucocorticoid m'magazi awo - omwe amakonda kunenepa kwambiri, komanso monga endomorphs, ndizovuta kwambiri kukwaniritsa kutalika kwa Olympia, koma ndizotheka!

    Izi ndizomwe zimapangitsa kuti thupi lizigwira ntchito molimbika, momwe mungafunikire kugwirira ntchito molimbika osati masewera olimbitsa thupi, komanso masewera olimbitsa thupi a Cardio tsiku ndi tsiku, osagwirizana ndi zakudya zotsika zamatumbo, ndikugwiritsanso ntchito ma anabolic steroid owopsa thanzi m'malo mwa insulin yotetezeka.

    • mawonekedwe owumba
    • Kutalika (sikofunikira, koma nthawi zambiri),
    • kupeza mafuta msanga
    • Mavuto a kuchepa thupi,
    • mafuta amayikidwa makamaka pamimba, matako ndi masaya.

    Kwa mawu. Anthu omwe akukonzekera kuchita masewera olimbitsa thupi, koma akuvutika ndi gastritis yosatha, yokhala ndi matenda a chithokomiro, kapena matenda a Itsenko-Cushing, ayenera kukhala okonzekera kuti insulin poplite ikhale ndi vuto - imapangitsa kuchuluka kwa mafuta, osati minofu. Zimangogwiritsa ntchito mahomoni anabolics.

    Zotsatira za jakisoni wa insulin kwa anthu athanzi

    Ochita masewera ena amafunikira kuphunzitsidwa insulin kuti akonzenso thupi

    Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi?

    Zizindikiro zakuchepa kwa shuga wamagazi zimatengera mlingo wa jakisoni wa subcutaneous:

    • 4 IU pamimba yopanda kanthu - chilimbikitso chowonjezereka kapena kumverera kwanjala,
    • Magawo anayi mutadya - osamva,
    • 20 IU pamimba yopanda kanthu - njala yayikulu ndi kufooka, kugwedeza manja ndi miyendo, zotheka: kuthamanga kwa magazi, nseru, kupweteka kwa mutu, ana opukusika, kusokonekera kwamphamvu kwamayendedwe, kukwiya mwadzidzidzi,
    • Magawo 20 atatha kudya - njala, kufooka, miyendo ndi kunjenjemera,
    • 40 IU pamimba yopanda kanthu - pafupifupi aliyense amachititsa kuti asamadziwe.

    Kwa mawu. Kuti muchepetse zizindikiro, muyenera kudya mwachangu kapena kumwa chinthu chokoma, ndipo ndimatchulidwe komanso zizindikilo zambiri, jakisoni wa adrenaline kapena glucagon angakuthandizeni. Kukayika kwambiri - chikumbumtima cha hypoglycemic, jakisoni wokhazikika wa glucose yekha angathandize, apo ayi, zotsatira zakupha zimachitika msanga.

    Malamulo oyambira a "masewera" a insulin

    Malo oyang'anira mahomoni a insulin

    Momwe mungatengere insulin pomanga thupi? Palibe yankho limodzi ku funso ili.

    Chilichonse ndichazokha, ndipo zimatengera zinthu zambiri:

    • kuchuluka kwa zolimbitsa thupi sabata iliyonse,
    • nthawi yatsiku lophunzitsira
    • ntchito zopatsidwa
    • nthawi yofunikira kuti mulowe mu mawonekedwe abwino,
    • magawo a thupi.

    Komabe, pali malamulo amodzi omwe akuyenera kutsatiridwa, koyambirira komanso kupitiriza ntchito yamasewera:

    • hormone ya insulin iyenera kuperekedwa kokha ndi syringe ya insulini, ndipo ngakhale kuti ndi singano yake yochepa thupi, pukuta jekeseni ndi nsalu, kale komanso pambuyo pa jekeseni,
    • phatikizani mankhwala pang'onopang'ono,
    • gwiritsani ntchito mitundu yaifupi yokha ya ultrashort,
    • kupezeka kwa jakisoni - mfundo zingapo pakati pamimba, ntchafu, matako kapena phewa,
    • makulidwe a kuphatikiza kwa singano mu khola lamafuta khungu ndi madigiri 45,
    • osaba jakisoni wa insulin musanayambe kuchita masewera olimbitsa thupi kapena kugona,
    • kuwonjezera kuchuluka kwa insulini pang'onopang'ono ndipo pang'onopang'ono, kuyambira magawo awiri,
    • osapitilira muyeso wokwanira, wotetezeka wamagulu 20,
    • Ndizoyenera kwambiri kuwerengera kuchuluka kwa chakudya chamafuta (1 m / mol ya 9 (IU) ya insulin, mumafunikira 10 g yamafuta oyera, omwe malinga ndi magulu a mkate ndi 0.5-0.7 XE), omwe amayenera kudyedwa nthawi yomweyo atabayidwa jekeseni, ndibwino kudya zambiri, koma osachepera, ndipo nthawi yonseyo muyenera kutsatira zakudya zamafuta ochepa,
    • Pakulimbitsa thupi m'mawa, jakisoni imachitika pambuyo pa mphindi 90, ndipo ngati phunzirolo lidachitika madzulo, ziyenera kuchitidwa osachepera maola 6 isanayambike.
    • Nthawi zambiri masewera a insulin jabs amatha masiku 30-60, ndipo pazokwanira sayenera kupitilira miyezi 4.

    Kuipa kwa nthano. Ambiri ali ndi chidaliro kuti kumwa kwa insulin kwa nthawi yayitali kumapangitsa kuchepa kwa mahomoni awoawo. Izi sizowona. Kuchuluka kwa mahomoni ake omwe amakhalabe momwemo!

    Pogwiritsa ntchito moyenera mahomoni a insulin, kapamba amangolimbitsa. Kupuma pakati pa maphunziro a insulin ndikofunikira kuti mupewe kupanga ma antibodies ndikukula kwa insulin. Ngati insulin yanu "yagwa," ndiye kuti mukudwala matenda ashuga.

    Ndi mitundu yanji ya insulin yomwe imagwiritsidwa ntchito pomanga thupi

    Ma insulin a Ultrashort ndi osavuta chifukwa amapezeka m'matumba apadera

    Masiku ano, insulin yabwino kwambiri yomanga thupi imayimiridwa ndi kukonzekera kwa insulin:

    • kochepa - Actrapid, Humulin pafupipafupi,
    • ultrashort action - Penfill, Flekspen.

    Chidwi Kugwiritsa ntchito mahomoni a insulin omwe atulutsidwa nthawi yayitali kuti asungidwe odwala matenda ashuga nkoletsedwa.

    Ndingatani kuwonjezera pa masewera a insulin

    Mathero a bodybuilder ndi zakudya zomanga thupi zopatsa mphamvu zochepa

    Ngati insulin imagwiritsidwa ntchito pomanga thupi, sizingatheke zokha, komanso ndikofunika kumwa mankhwala ndi zakumwa zotsatirazi:

    • madzi amchere amchere amchere kwambiri - Essentuki-17, Essentuki-54, Luzhanskaya, Polyana Kvasova,
    • m'modzi wa othandizira multivitamin, tsiku lililonse, mumagulu akuluakulu othandizira - kutsatira, olamine, supradin,
    • zipatso zouma zokhala ndi potaziyamu (kokha mutatha kudya) - nthochi zouma kapena tchipisi cha nthochi zouma, ma apricots owuma, mphesa zouma,
    • mafuta owotcha mafuta - carnitine, clenbuterol,
    • ma adaptogenic macterek - Aralia Manchurian, radiola wa pinki, wakaleha, eleutherococcus,
    • mavitamini - nicotinic acid, calcium pantothenate.

    Insulin, mahomoni okula komanso kusakhazikika kwa mahomoni a anabolics

    Mtengo wogwiritsidwa ntchito ndi GAS ndi akatswiri omanga thupi ndiwosazindikira kwa amuna komanso amuna

    Masiku ano mdziko lomanga thupi lakhala "yapamwamba" kugwiritsa ntchito mahomoni okula (STH), omwe amathandiza kuyaka mafuta. Komabe, akatswiri ambiri, ngakhale akatswiri othamanga omwe ali ndi luso amapanga cholakwika cha kubayidwa STH panthawi ya insulin. Izi sizingachitike mwanjira iliyonse, chifukwa mahomoni awiriwa, makamaka, ndi otsutsana mwachindunji.

    Archive! Ngakhale a inshuwaransi am'badwo watsopano ayenera kubayidwa mwanjira ina. Akamaliza kokha ndiye kuti jakisoni wa kukula kwa mahomoni angaperekedwe. Kugwiritsa ntchito nthawi imodzi kupha kapamba.

    Komabe, pali lingaliro limodzi linanso. Ziphuphu za insulin zimakulitsa minofu yambiri, koma musalimbikitse mphamvu yamagalamu ndi ma tendon, omwe amatha kupweteketsa masewera. Izi zimafuna mahomoni anabolic steroids (GAS), kotero dongosolo "lama" ambiri kwa omanga thupi olimbitsa thupi ali motere: Insulin - & gt, GAS - & gt, STG - & gt, GAS - & gt, Insulin.

    Ndipo pomaliza, timakumbukiranso kuti tikulimbikitsidwa kupangira jakisoni wa insulin kokha kwa akatswiri olimbitsa, ovina, ojambula mafashoni, ovula kapena ochita masewera - anthu omwe amalandila ndalama zokongola. Kwa iwo omwe akungofuna kukhalabe ndi masewera othamanga a ziwonetserozo, nthabwala za insulin sizofunikira, ndipo kugwiritsa ntchito kwawo sikuyenera.

    Mitundu ya insulin yomwe imagwiritsidwa ntchito pomanga thupi

    Mosiyana ndi mankhwala obwezeretsanso matenda a shuga, omwe amafunika kugwiritsa ntchito ma insulini osiyanasiyana nthawi imodzi, ndi mankhwala "ochepa" ndi "ultrashort" omwe amagwiritsidwa ntchito pamasewera. Akayambitsidwa, amachititsa kuti magalimoto azikhala mofulumira, omwe amakupatsani mphamvu yochulukirapo ya glycogen komanso kupewa kupindika kwa minofu chifukwa cha zakudya zomwe zimakhala zosafunikira insulin.

    Ngakhale mwayi wowonekerawu - kuchepa kwa kukhudzana ndi thupi pakapita nthawi yayitali - amakhalanso ndi vuto lalikulu - chiwopsezo chachikulu cha hypoglycemia (dontho lakuthwa la shuga kupita kuzosakhazikika kapena njira zakufa zoperewera) ndi njira zosayenerera pakayendetsedwe ka zakudya komanso zakudya.

    Mitundu ya insulin ya masewera

    Mtundu wa mankhwalaKuyamba kuchitapo kanthuPeak mankhwala ogwiraKuchotsa NthawiMankhwala abwino kwambiri
    Mwachidule kuchita insulinHafu ya ola pambuyo kuperekeraPatatha maola awiri kuchokera pakuwonekera m'thupi5-6 hActrapid NM

    Ultra Yokhala-Mwachidule InsulinPambuyo 0 mpaka mphindi pambuyo makonzedwe3-4 hInsulin Humalog

    Mankhwala osakhalitsa amaperekedwa theka la ola musanadye: motere, momwe zimachitikira zimadziwoneka nthawi yomweyo chakudya chikalowa m'thupi, ndipo chiopsezo chokhala ndi hypoglycemia ndi chochepa. Ultrashort insulini imangotengedwa osati yachilengedwe, komanso yothandiza kwa othamanga: imayendetsedwa mphindi 5-10 asanadye kapena itangotha.

    Ndikofunikira kudziwa: simungathe kutenga insulin musanaphunzitsidwe (makamaka kupatula kuti malo osungirako mphamvu amaperekedwa ndi wopeza chakudya mosavuta). Izi zimabweretsa osati kuphwanya magetsi komanso kufa ndi minofu, komanso kukomoka kwa hypoglycemic. Asanagone, kubayitsa mahomoni kumaletsedwanso, chifukwa munthu sayenera kukhala wosazindikira pa nthawi ya mankhwalawa.

    Momwe mungapangire maphunziro a anabolic

    Kutenga kochepetsa mphamvu ya shuga kumayenera kusaposa miyezi iwiri, pambuyo pake kupumula kwa miyezi iwiri kuyenera kubwezeretsa kubisala kwanu kwa insulin. Malinga ndi osewera komanso makochi, nthawi yonseyi mukhonza kulemera kuchokera pa kilogalamu 3 mpaka 12 kulemera. Komabe, sikuti nthawi zonse ndikotheka kupeza minofu yambiri.

    Momwe mungatengere insulin:

    • Maphunziro a anabolic ayenera kuyambitsidwa ndi mayunitsi awiri (0,05 ml ya mankhwala olembedwa U-40),
    • ndikofunikira kuwonjezera mankhwalawo pang'onopang'ono, mwa kuchuluka kwa magawo awiri tsiku lililonse, kuwunika momwe thupi lanu lilili.
    • kuti musagwere bwino mankhwalawo (sitikulankhula za ziwengo, koma zaumoyo wopanda kufooka ndi kufooka kumbuyo kwa maphunzirowo), muyenera kuchepetsetsa kuchuluka kwa mlingo ndikuchepetsa kuchuluka kwa magawo a 10-15
    • ngati mukuphonya kuchuluka kwamalingaliro omwe akukonzekera, kulumpha kwadzidzidzi mu kuchuluka kwa mahomoni omwe amaperekedwa ndi koletsedwa, makamaka koyambirira kwamaphunziro,
    • Mulingo woyenera kwambiri ndi ma insulin 20, ngakhale osewera ambiri amasiya 15.

    Mankhwalawa amayenera kuperekedwa pang'onopang'ono, pakadutsa madigiri 45 kupita ku crease yosakanizidwa pakati pa zala. Kugwiritsa ntchito tsamba la jakisoni ndikusankha. Sizoletsedwa kupanga jakisoni pamalo amodzi, komanso kupukuta m'deralo pambuyo pazoyang'anira.

    Kutengera mtundu wa mankhwalawa, pomwepo kapena theka la ola pambuyo pa jakisoni, ndikofunikira kulipiritsa kuchuluka kwa insulini ndikugwiritsa ntchito zakudya zamafuta kuti mupewe hypoglycemia.

    Gawo limodzi lokha la insulini limachepetsa shuga m'magazi ndi 2.2 mmol / L yokhala ndi shuga wamba wa 3-5.4 mmol / L (pamimba yopanda kanthu).

    Ngakhale kuti munthawi imeneyi ngakhale gawo limodzi la masewera osawerengeka lomwe silinawerengeredwe limatha kupha, ndiye kuti mlingo woyipa kwambiri ndi pafupifupi mayunitsi zana. mahomoni.

    Komabe, muyeso wambiri wa insulin umadzala ndi mkhutu endocrine system, chizungulire komanso kufa ndi minyewa mpaka ndere.

    Kuti mupeze chindalama chokwanira cha chakudya cha carbohydrate, lingaliro la magawo a mkate (XE) limagwiritsidwa ntchito. 1 XE, mosasamala mtundu wa chakudya, imafanana ndi 12-15 magalamu a chakudya ndipo imafuna kukonzedwa kwa magawo a insulin a 1.5-2. Izi zikutanthauza kuti kumwa mankhwala a insulini pamlingo waukulu kwambiri (mayunitsi 20), muyenera kudya 10-14 XE, yomwe imafanana ndi 120-210 magalamu a chakudya.

    Zabwino ndi zoyipa zamasewera a insulin

    Kuchuluka kwa zabwino ndi zoyipa za insulin pamasewera olimbitsa thupi zimachepetsedwa pamulingo wazotsatira komanso zowopsa za kumwa mankhwalawa.

    Ubwino wa insulin maphunziro:

    • kusowa kwa poizoni ndi impso.
    • Kulemera bwino, makamaka mukamagwiritsa ntchito mankhwala osakanikirana a anabolic (kuchuluka kwa mankhwalawa ndi njira yophatikizidwabe amakhalabe momwemo),
    • kusowa kwa "achire achire" (kubwezeretsanso) ndi kuwonda kwambiri kwamisempha panthawi yapakati ndikupanga njira yochepetsera izi pamaphunziro a anabolic steroids,
    • kusowa kwa androgenic zotsatira ndi zovuta potency,
    • kupezeka kwa mankhwalawa (onse pamtengo komanso makamaka) komanso mawonekedwe ake apamwamba (mwayi wogula zabodza ndi wotsika kwambiri).

    • chiopsezo chachikulu cha hypoglycemia,
    • Mlingo wovuta kutsata komanso kufunika kowunikira mosamala mlingo ndi momwe thupi liliri,
    • kukula kwa kuperewera kwa magnesium ndi potaziyamu motsutsana ndi maphunzirowo.
    • kuwonjezeka kwakukulu pachiwopsezo cha kukhala ndi matenda ashuga a 2 (kutenga insulin yopangika kumawonjezera kulolerana kwa miniti kuzichita mahomoni awo),
    • kuchuluka kwa mafuta ndikumwa mankhwala osokoneza bongo,
    • ndi maphunziro autali - kuchepa kwa chinsinsi cha insulin yawo yomwe imawonjezera mwayi wokhala ndi matenda ashuga.

    Zomwe zimayambitsa kukonzekera kwa mahomoni amtunduwu, makamaka pogwiritsa ntchito insulin ya anthu, ndizosowa kwambiri.

    Kuti muchepetse zoopsa mukasunga phindu la masewera a insulin, mutha kugwiritsa ntchito njira zina - mankhwala ochepetsa shuga.

    Akamwetsa, amachititsa kuchepa kwa kuchuluka kwa shuga m'magazi, potero kumapangitsa kuti insulini ipangidwe.

    Pomanga thupi, mapiritsi a Diabetes amagwiritsidwa ntchito mwachangu: kudya kumayamba ndi theka la piritsi (15 mg) patsiku, pang'onopang'ono mlingo umatha kuchuluka kwathunthu. Kutalika kwa maphunzirowa ndi miyezi 1-2.

    Zoyipa zamaphunzirowa ndi chiopsezo chochepa cha kufooka kwa chinthu chopangidwira komanso kuchepa kwa chidwi cha minyewa kupita ku mahomoni, komanso mphamvu yautali wa mankhwalawa (othamanga ayenera kubwezeretsanso kupezeka kwa chakudya chamafuta mkati mwa maola 10 atatha kumwa mankhwalawo).

    Ochita masewera amawunikiranso za insulin

    Ndakhala ndikumwa insulin kwa mwezi wopitilira. Ndinabweretsa mlingo wapamwamba kuposa womwe unaperekedwa (mayunitsi 35), koma pakadali pano zonse zili bwino. Pakati pa maphunzirowa ndidawonjezera makilogalamu 6 kulemera - mapewa, manja akuwonjezeka.

    Pang'ono - m'mimba akukula, ngakhale mpikisano sindiye cholinga changa. Mphamvu ya makina osindikizira a benchi yakula: atagona pansi, adawonjeza pafupifupi 10 kg, mu squat - pafupifupi 5.

    Poyamba, ndimayembekezera zambiri kuchokera kumapeto kwa mankhwalawa, koma ndiyesa kukhala kwa miyezi iwiri, ndikuyang'ana zotsatira zake.

    Insulin ndi anabolic yothandiza ngati mukuyang'ana kuphatikiza koyipa ndi zotsatira zake. Imakwaniritsa maphunziro omwe amapezeka ndi anabolic steroids; munthawi yayitali, zimathandiza kuti muchepetse kunenepa. Nthawi zambiri amalemba za kuchuluka kwambiri kwamafuta m'thupi, koma kumatha kutha pang'ono chifukwa chamadokotala okhwima.

    Mlingo sayenera kupitilira kuchuluka, pali mwayi wopatsa kulekerera, komwe sikabwino kwambiri osati maphunziro apambuyo pake, komanso thupi lonse. Musanagwiritse ntchito insulini pomanga thupi, ndikofunikira kulingalira zabwino ndi zoopsa, popeza chiwopsezo chilipo. Kwa oyamba kumene, sindimamupangira upangiri; amafunika kusamala ndi udindo.

    Ponena za maphunziro a insulin, nthawi zambiri amalemba za kuopsa kwa hypoglycemia ndi kufunika konyamula maswiti kapena juisi nanu. Musaiwale kuti zotsatira za anabolic nthawi zonse zimakhala kulengedwa kwa kuperewera kwa potaziyamu ndi magnesium. Ndikofunikira kulingalira za kutenga ma microelements awa (Panangin, mankhwala a Asparkam), popeza hypokalemia imabweretsa mtolo wowonjezera pamtima.

    Ndikhulupirira kuti insulini ndi ya akatswiri okha. Simuyenera kuyesa izi popanda chitsimikizo kuti chiwopsezo ndichofunika, ndipo kudziwa momwe mungachepetsere hypoglycemia ndi kudya zolondola ndikokwanira.

    Kuperewera kwa shuga kumatha kuzimitsidwa ndi mapuloteni ambiri komanso kuthamanga kwam'mimba. Ngati "mwachigwira" hypoglycemia, muyenera kumwa mapiritsi ochepa masekondi angapo kufikira nkhawa ndi mdima mumaso uthere.

    Ngati mudaganizirabe za insulin, musamayike pamiyeso 20.mahomoni okhala ndi kulemera pansi pa kilogalamu zana.

    Insulin imawonjezera mphamvu ya ma steroid, omwe amatengedwa ndi mankhwala a Danabol, Omdaren. Ndi bwino kutenga Humulin R phunziroli, Actrapid sanapereke kanthu ngakhale utakwezedwa waukulu, kuchuluka kwake kunachepera.

    Ophunzitsa ndi omanga olimbitsa thupi salimbikitsa kugwiritsa ntchito insulin m'masewera ngati katswiriyu ndiwotsitsa. Popeza munaganiza za mankhwalawa, muyenera kuyang'anitsitsa momwe thupi lanu lilili komanso kudziwa zonse zomwe zingachitike ngati mutamwa mankhwalawo.

    Kusiya Ndemanga Yanu