Insulin yotsika: zikutanthauza chiyani?
Ngati munthu ali ndi matenda ochepa a insulin, zizindikiro zoyambirira za hyperglycemia zimawonedwa - shuga wambiri. Pakachitika kuti insulin yotsika kapena kusapezeka kwathunthu, magazi a shuga sangatengeke kupita ndi maselo pawokha, chifukwa chake amadzaza m'mitsempha yamagazi. Maselo amakula shuga.
Dokotala akapeza insulini yotsika magazi, nthawi zambiri amapezeka ndi matenda a shuga a mtundu woyamba. M'miyoyo yawo yonse, anthu oterowo amayenera kuwunika kuchuluka kwa shuga m'magazi ndikujambulira insulin pafupipafupi kuti achepetse shuga.
Ndizothekanso kuti kuchuluka kwa insulini ndikokwanira, koma mahomoni sangathe kuthana ndi ntchito yake yanthawi zonse chifukwa cha zovuta zina. Pankhaniyi, insulin kukana imapezeka ndipo matenda a shuga a 2 apezeka.
Kwa matenda amtundu uliwonse, wodwala amatha kuwona zotsatirazi:
- Kuchulukitsa kwamikodzo mkodzo, makamaka usiku. Ngati magazi a shuga akwera, thupi limayesetsa kumuchiritsa kudzera mkodzo. Glucose, imakopa madzi, kotero kuchuluka kwa mkodzo kumawonjezeka ndipo chodabwitsa monga polyuria chimawonekera.
- Ndi kuchuluka kwa shuga, munthu amakhala ndi ludzu pafupipafupi. Izi polydipsia zimagwirizana mwachindunji ndi kuwonjezeka kwa kufunika kwa thupi lamadzimadzi chifukwa kukodza mwachangu komanso kochuluka.
- Ngati chithandizo sichinayambike munthawi yake, kuchuluka kwa insulini kumayamba kuyenda bwino, zomwe zimapangitsa kuti zilembozo ziwonjezeke. Pakanapanda chithandizo chanthawi yake, kusowa kwambiri kwamahomoni kumatha kubweretsa zotsatira zoyipa zomwe zimakhala zowopsa pamoyo wa munthu.
Zifukwa ndi chithandizo
Magazi a insulin ochepa amatha chifukwa cha zinthu zosiyanasiyana. Kuti mudziwe zoyambitsa, muyenera kufunsa dokotala, kukayezetsa, kumayezetsa magazi ndi mkodzo m'njira zonse zofunika.
Miyezo ya mahormoni imatha kucheperachepera kudya kwambiri komanso kudya zakudya zopanda thanzi, zopatsa mphamvu zopatsa mphamvu zambiri. Ngati wodwala woleredwa nthawi zambiri amadya mbale zomwe zingakhale ndi mafuta osungunuka, izi zimapangitsa kuti shuga azikhala ndi magazi ambiri.
Pofuna kuthana ndi kuchuluka kwakukulu kwa shuga omwe akubwera, kapamba ayenera kuwonjezera insulini. Ngati insulin ya m'madzi itatsitsidwa, pamakhala chiwopsezo chotenga matenda a shuga.
- Mu matenda osachiritsika komanso opatsirana, thupi limafooka kwambiri, chifukwa chomwe chitetezo chimachepa. Izi zimakwiyitsa matenda kagayidwe kachakudya.
- Nthawi zambiri misempha yotsika ya insulin imawonedwa pakagwa nkhawa komanso kukhumudwa kwamanjenje. Pankhani imeneyi, tikulimbikitsidwa kuti muphunzire kuwongolera zakukhosi kwanu komanso kupewa mavuto.
- Kuchita masewera olimbitsa thupi mopitirira muyeso, kapena, kukhalanso ndi moyo wopanda ntchito, kumayambitsanso insulin. Kupanga kwa mahomoni kumayimira, zomwe zimawonjezera mwayi wokhala ndi matendawa.
- Kuphatikiza kuperewera kwa zakudya m'thupi kumabweretsa mavuto m'thupi. Kuti muchepetse kuchuluka kwa shuga ambiri, mumapatsidwa zakudya zapadera zochizira.
Momwe mungakulitsire kuchuluka kwa insulin
Kuti muwonetsetse kuti kuchuluka kwa shuga m'magazi nthawi zonse ndizofunikira, ndikofunikanso kuwongolera kuchuluka kwa insulin. Kuphatikizika kwa mahomoni awa kumawonjezeka chifukwa chodya zotsekemera komanso mankhwala a insulin. Kuphatikiza apo, dokotala angakupatseni mankhwala ochepetsa shuga.
Mankhwala a Livitsin ali ndi vuto losakhazikika, kotero kuti magazi amatsukidwa ndi zinthu zapoizoni ndi shuga wambiri. Mankhwala Civilin amasintha maselo a kapamba, omwe mtsogolomo amatenga nawo mbali popanga insulin, potero amawonjezera kuchuluka kwa mahomoni.
Mankhwala amabwezeretsa zakumbuyo ya m'thupi ndi chitetezo chamthupi, amalimbitsa magwiridwe ake. Zimathandizanso ngati insulini yotsitsidwa, mankhwala achikhalidwe.
Chithandizo cha matenda omwe ali ndi insulin yotsika ndiyofunika, wodwala amayenera kupatsidwa mankhwala othandizira. Kodi izi zikutanthauza chiyani kwa wodwala matenda ashuga? Thanzi liyenera kukhala loyenera komanso lokwanira. Muyenera kudya magawo ang'onoang'ono, koma nthawi zambiri, kangapo kasanu mpaka kasanu ndi kamodzi patsiku.
- Zakudya zonse zopatsa mphamvu kwambiri komanso zopatsa mphamvu zomwe zimakhala ndi index yayikulu ya glycemic ziyenera kusayikidwa kunja kwa zakudya. Ndikofunikira kusiya mbatata, mpunga, semolina, uchi ndi zinthu zina zomwe zimapangitsa shuga m'magazi ndikusokoneza kagayidwe ka thupi.
- Zakudya ziyenera kuphatikizapo zakudya ndi zakudya zomwe zimapangitsa kapamba. Izi zikuphatikiza maapulo, nyama yotsika, mabulosi amphaka, kefir, parsley, ndi kabichi. Ngati mumadya moyenera, mkati mwa sabata yoyamba yachipatala mutha kupeza zotsatira zabwino.
- Mankhwala othandizika, dokotala amatha kukupatsani mankhwala othandizira, komanso njira zolimbitsa thupi, komanso electrophoresis. Kuti mulimbitse chitetezo chokwanira komanso kuchepetsa matenda a metabolism, Biozinc ndi Biocalcium amatengedwanso, zakudya zoterezi zimachepetsa shuga, zimathandiza kuti shuga azisunthika bwino, komanso zimathandizira kusintha kwakachulukidwe ka magazi ndi njira ya metabolic.
- Mutha kuwonjezera insulin mwakuwonjezera zolimbitsa thupi. Ma Hikers amalimbikitsidwa kwa odwala matenda ashuga, kuchita masewera olimbitsa thupi ofanana kumathandizira kuti glucose alowe minofu minofu mwachangu komanso amachepetsa kuchuluka kwa shuga m'magazi. Kuzindikira kwa insulin ndi masewera olimbitsa thupi kumawonjezeka pafupifupi 25-30%.
Makhalidwe a glucose amadziwika chifukwa choyesa magazi mu labotale. Mutha kugwiritsa ntchito mita kuyesa kunyumba.
Pozindikira Zizindikiro, wodwala matenda ashuga amatha kudzilamulira yekha ndipo ngati kuli kotheka, achitepo kanthu kuti asinthe magazi.
Mlingo wa insulin
Mwa akazi ndi abambo, kuchuluka kwa insulini pamimba yopanda kanthu kuyambira 3 mpaka 26 mcU / ml, pomwe shuga m'magazi amawerengedwa monga abwinobwino kuyambira 3.3 mpaka 5.5 mmol / lita.
Kwa anthu achikulire, mtunduwu umakhala wosiyana pang'ono ndipo umakhala 6-35 mkU / ml. Komanso, zizindikiro zosiyana pang'ono zimatha kukhala mwa azimayi panthawi yoyembekezera - kuyambira 6 mpaka 28 μU / ml. Mlingo wa insuliniwu umawaganiziranso panthawi yomwe matenda a shuga akupezeka.
Kuphatikiza pa kuyesa shuga wamagazi, kuyezetsa kuchuluka kwa insulin kumathandizira kudziwa ngati pali zofunika zina zamatendawa. Izi zimaganizira za insulin yokwera komanso yotsika.
- Kukumana kwa mahomoni ambiri kumatha kuwonetsa kuti kapamba amatulutsa insulin yochuluka kwambiri, yomwe samalowetsedwa ndi maselo amthupi. Ndi insulin yotsika kwambiri, adokotala amawona kuti maselo a kapamba samatulutsa timadzi tambiri tambiri.
- Zosintha pamankhwala a insulin panthawi yapakati zimagwirizanitsidwa ndikuti placenta imalimbikitsa kupanga mahomoni omwe amawonjezera kuchuluka kwa glucose. Glucose, nayenso, amakhumudwitsa thupi kuti litulutse insulini.
- Chifukwa chake, shuga ali m'matumbo a mwana wosabadwa, ndikupangitsa kuti kapamba ake azigwira ntchito kwambiri ndikupanga insulin yambiri. Glucose amasinthidwa kukhala mafuta amthupi, zomwe zimapangitsa kuchuluka kwa thupi la mkazi komanso mwana wosabadwa. Popewa izi, muyenera kudya zakudya zapadera.
Mwa amuna, zovuta zimatha kugwirizanitsidwa ndi kuwonongeka kwa maselo a pancreatic. Izi zitha kuonedwa mwa achinyamata motsutsana ndi komwe kukhazikitsidwa kwa matenda opatsirana oyambitsidwa ndi tizilombo. Komanso kuchuluka kwa insulin kumatha kuwonetsa kukhalapo kwa chotupa cha pancreatic, adrenal gland ndi matenda a chiwindi. Palibe ma pathologies awa, adokotala nthawi zambiri amawonetsa matenda amtundu wa 2.
Mchitidwe wa insulin m'mwazi mwa achinyamata ndi ana ndi 3-20 μU / ml. Pankhani ya kukula kwa matenda aliwonse, kuchuluka kwa mahomoni kumatha kusintha mpaka pansi. Dokotala amatha kudziwa matenda ashuga amtundu woyamba, omwe, monga lamulo, amadzimva akadali aang'ono.
Zambiri pazomwe zimagwira insulin mthupi zimaperekedwa mu kanema munkhaniyi.