Homa ir insulin kukana index: ndi chiyani ndipo ndi njira iti yowerengera?

Insulin resistance syndrome ndi matenda omwe amatsogolera kukula kwa matenda ashuga. Kuti muzindikire matendawa, Insulin Resistance Index (HOMA-IR) imagwiritsidwa ntchito. Kutsimikiza kwa zisonyezo za mndandandawu kumathandizira kudziwa kukhalapo kwa insulitivity mu magawo oyambilira, kuwunika kuopsa kokhala ndi matenda a shuga, atherosclerosis, ndi pathologies a mtima.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Kodi kukana insulin ndi chiyani?

Mwa kukana insulini kumatanthauza kukana (kutayika kwa maselo a thupi) machitidwe a insulin. Pamaso pa izi, wodwalayo wawonjezera insulini komanso kuchuluka kwa shuga m'magazi. Ngati vutoli limaphatikizidwa ndi dyslipidemia, kulolerana kwa glucose, kunenepa kwambiri, ndiye kuti matenda amtunduwu amatchedwa metabolic syndrome.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Zomwe zimayambitsa ndi zizindikiro za matendawa

Kukana insulini kumachitika motere:

• onenepa kwambiri
• chibadwire
• kusokonezeka kwa mahomoni
• kugwiritsa ntchito mankhwala ena
• zakudya zopanda thanzi, kuzunza odwala.

Izi siziri zifukwa zonse zomwe zimapangitsa kuti insulin ikane. Oledzera nawonso ali ndi vutoli. Kuphatikiza apo, matenda amtunduwu amayenda ndi matenda a chithokomiro, polycystic ovary, Itsenko-Cushing's syndrome, pheochromocytoma. Nthawi zina, kukana insulin kumawonedwa mwa azimayi panthawi yoyembekezera.

Zizindikiro zamankhwala zimayamba kuonekera pambuyo pake matendawa. Anthu omwe ali ndi insulin kukana amakhala ndi mtundu wam'mimba wambiri (kutayika kwamafuta m'mimba). Kuphatikiza apo, ali ndi kusintha kwa khungu - kuchepa kwamphamvu m'makutu, khosi, komanso tiziwalo ta mammary. Kuphatikiza apo, mwa odwala otere, kuthamanga kwa magazi kumakwera, kusintha kwa psychoemotional maziko, zovuta zam'mimba zimawonedwa.

Kusanthula ndi momwe zitha

Odwala poyambirira amafunika kuyesedwa magazi a venous, kenako kuyezetsa insulin. Kuzindikira ndi kutsimikiza kwa insulin kukana kumachitika potsatira malamulo awa:

Mphindi 30 asanafike mayeso, simungathe kuchita masewera olimbitsa thupi.

• Kuletsedwa kusuta kwa theka la ola maphunziro asanafike,
• musanapendeke, simungathe kudya kwa maola 8-12,
• kuwerengetsa kwa zizindikiro kumachitika m'mawa m'mimba yopanda kanthu,
• zolimbitsa thupi zoletsedwa theka la ola lisanayesedwe,
• Dokotala wofunsayo ayenera kudziwitsidwa zamankhwala omwe amwe.

Mulingo wa kukana insulini

Mtengo woyenera wa HOMA-IR suyenera kupitilira 2.7. Shuga yofulumira, yomwe imagwiritsidwa ntchito kuwerengera index, imasiyanasiyana kutengera zaka za munthu:

• pazaka zosakwana zaka 14, Zizindikiro zimayambira pa 3,3 mpaka 5.6 mmol / l,
• mwa anthu azaka zopitilira 14, chizindikiro chizikhala pamtunda wa 4.1-5.9 mmol / l.

Kupatuka kuchoka pazomwe zimachitika

Mlozera wa HOMA ukuwonjezeka pamitengo kuchokera pa 2.7. Kuwonjezeka kwa zizindikiro kungasonyeze kukhalapo kwa matenda. Mwakuthupi, cholozera cha insulini chitha kuchuluka ngati zopereka zamagazi sizikumana kuti ziwunikidwe. Muzochitika zotere, kusanthula kumapangidwanso ndipo zisonyezo zimayesedwanso.

Chithandizo cha HOMA IR Index

Dietotherapy ndi imodzi mwazinthu zofunikira kwambiri pakuchiza matenda a insulin.

Insulin insensitivity therapy cholinga chake ndi kuchepetsa mafuta m'thupi. Ngati index ya NOMA iwonjezeka, ndikofunikira kuti musinthe zakudya zanu zatsiku ndi tsiku. Onetsetsani kuti mwachepetsa kuchuluka kwamafuta ndi mafuta ochulukirapo. Kuphika makeke, maswiti, zakudya yokazinga, ma pickles, nyama zosuta, mbale zokhala ndi zonunkhira zambiri sizimayikidwa konse. Kugwiritsa ntchito masamba, nyama yopendekera (nkhuku, nkhuku, kalulu) ndi nsomba ndikulimbikitsidwa. Njira zabwino zophikira mbale:

Imafunika kudya pang'ono - nthawi 5-6 patsiku. Kuphatikiza apo, tikulimbikitsidwa kumwa 1.5-2 malita a madzi oyera tsiku lililonse. Kofi, tiyi wamphamvu, mowa uyenera kusiyidwa kwathunthu ndi mowa. Kuphatikiza apo, odwala omwe ali ndi insulin kukana amalimbikitsidwa kuchita masewera: kuthamanga, yoga, kusambira. Onetsetsani kuti mukuchita zolimbitsa thupi m'mawa. Njira yofunikira imakhazikitsidwa ndi dokotala aliyense payekha.

Zimayambitsa Insulin Resistance

Monga zochitika zina zambiri, nthawi zina, kukana insulini si matenda.

Kulimbitsa thupi insulin inshuwaransi kumawonedwa mwa anthu athanzi usiku, mwa ana nthawi zambiri amakula.

Kukana kwa insulin panthawi yapakati kapena mkati mwa gawo lachiwiri la kusamba kumawonedwanso ngati kwabwinobwino.

The matenda a insulin kukana amatengedwa zotsatirazi milandu:

1. Mowa
2. Kunenepa kwambiri pamimba (i.e., mafuta ochulukirapo amayikidwa makamaka pamimba).
3. Matenda a shuga a II.
4. Ketoacidosis.
5. Mtundu woyamba wa matenda a shuga a mellitus (gawo lowonongeka).

Komabe, ndizosangalatsa kuti kukana insulini kumatha kuyamba popanda zinthu zovulaza. Mwachitsanzo, sizimayenda ndi matenda ashuga nthawi zonse. Komanso, kukana insulini kumatha kupezeka mwa anthu omwe onenepa kwambiri. Koma izi zimachitika pokhapokha pa 25% ya milandu, chifukwa chake amakhulupirira kuti insulitivity ndi mnzake wa kunenepa kwambiri Ine ndi madigiri otsatirapo.

Kuphatikiza pa zomwe tafotokozazi, kukana insulini kumayendera limodzi ndi matenda awa:

• acromegaly
• kusabereka
• ovary polycystic,
• hypothyroidism
• chithokomiro.

Zizindikiro za kukana insulini zimawonekera pokhapokha ngati matendawa ali kale kale ndi vuto lalikulu. Pakadali pano, kusokonezeka kwa metabolic kwayamba kale kuchitika. Izi zisanachitike, zam'tsogolo zimakhala zovuta kudziwa.

Njira imodzi yodziwira matenda oyeserera ndi mayeso apadera a kukana insulini.

Mayeso okana insulin

Pakadali pano, kuwerengera kwa index insulin kukana kumachitika pogwiritsa ntchito mitundu iwiri: HOMA IR ndi CARO. Koma, choyamba, wodwalayo ayenera kupereka magazi kuti awoneke.

Kuyesedwa kwa homo kumapangitsa kuti athe kuunika chiopsezo chotenga matenda akuluakulu (matenda ashuga, atherosulinosis), komanso kutsutsana ndi insulini pamavuto ena amthupi.

Mlozera wa Homo amawerengedwa pogwiritsa ntchito njira yapadera: mulingo wa insulin (kusala) * shuga wamagazi (kusala) / 22.5.

Zosintha mu index ya homa nthawi zambiri zimakhala chifukwa cha kusintha kwa chimodzi mwazomwezi. Ngati glucose achulukitsa mulingo wamba, titha kulankhula za kukana insulini komanso chiopsezo chotenga matenda a shuga, kuwonongeka kwa mtima ndi mitsempha yamagazi.

Zabwinobwino kwa anthu azaka zapakati pa 20-60 zimawonetsedwa ngati index ya homa insulin ya 0 - 2.7. Chifukwa chake, chizolowezicho ndikusowa kwathunthu kwa insulin, kapena kuwonjezeka pang'ono. Mtengo womwe ndi wosiyana kwambiri ndi chizolowezi ndizomwe zimapangitsa kuti azindikire "insulin kukana" ndikuwonetsa chiopsezo chachikulu chotenga matenda osiyanasiyana.

Minyewa ya m'magazi a plasma ndiyosiyana pang'ono kutengera zaka. Mwa ana osaposa zaka 14, chizindikiro choyenera chimachokera 3 mpaka 5, 6 mmol / L. Pambuyo pazaka 14, mulingo wabwinobwino umakwera mpaka 4,4-5.9 mmol / L. Palibenso kusiyana kwina mu msonkho wabwinobwino mwa zaka. Zomwe zili ndi insulin zabwinobwino zimachokera ku 2.6 mpaka 24.9 μU / ml.

Kusanthula kwamtunduwu sikumangoperekedwa kwa odwala matenda a shuga, komanso chifukwa cha matenda ena, kuphatikizapo polycystic ovary syndrome, hepatitis B ndi C, kulephera kwaimpso, komanso kukanika kwa chiwindi komwe kumachitika chifukwa chosamwa mowa.

Kuti mupeze zotsatira zolondola za HOMA IR, muyenera kutsatira malangizo onse a dotolo, chifukwa zinthu zingapo zingakhudze zotsatirazi:

1. Nthawi ya chakudya chomaliza (tikulimbikitsidwa kuti mutenge nyama pokhapokha pamimba yopanda kanthu).
2. Kumwa mankhwala.
3. Mimba
4. Wopsinjika.

Kulondola kwa kutsatira malamulo operekera biomaterial kumakhudza kwambiri zotsatira zomaliza.

Mtundu wachiwiri wa mayeso okana insulini ndi kuwunika kwa CarO. Pofuna kupeza index ya caro, njira yotsatirayi imagwiritsidwa ntchito: chizindikiro cha plasma glucose (mmol / L) / chizindikiro cha insulin (mmol / L).

Mosiyana ndi index ya homo, muyezo wa index wa caro ndi wotsikirapo: zotulukapo zoyenera siziyenera kupitirira 0,33.

Insulin Resistance Therapy

Kukana kwa insulini ndi chikhalidwe chomwe chimafuna kulowererapo mwachangu. Chifukwa chake, kuchiza sikuyenera, komanso ndikofunikira.

Njira yolondola yolandirira ndi mkulu wa insulin kukana homa ir sichinapangidwebe.

Pali njira zingapo zomwe zimathandizira kukonza vutoli.

Mwambiri, njira izi ndi zofanana ndi zomwe zalimbikitsa mtundu wachiwiri wa shuga:

• chakudya
• zolimbitsa thupi,
• kuwonda.

Choyimira chachikulu ndi kunenepa kwambiri pamimba, momwe mafuta amadziunjikira makamaka pamimba. Mutha kudziwa mtundu wa kunenepa kwambiri mothandizidwa ndi njira yosavuta: KUCHOKA (chiuno) / OB (m'chiuno cha m'chiuno). Zotsatira zabwinobwino kwa amuna sizaposa 1, kwa akazi - 0,8 kapena ochepera.

Kuchepetsa thupi ndichinthu chofunikira kwambiri pochiza insulin. Chowonadi ndi chakuti ntchito za metabolic ya adipose minofu ndizambiri. Ndiomwe "wolakwa" wopanga mafuta acids, omwe amalepheretsa insulin, ndiye kuti, amalimbikitsa kukana insulini.

Kuchepetsa thupi kwambiri sikuyenera kuchita popanda kuchita masewera olimbitsa thupi. Mtundu wa zochitikazo uyenera kusankhidwa kutengera luso lanu, osayesa "kudumpha pamwamba pamutu panu." Chofunikira apa ndikuyenda zina. Kuchita masewera olimbitsa thupi sikungopereka chithandizo chofunikira kwambiri pakuchepetsa thupi, komanso kuwonjezera chithandizo chamankhwala. Zochita zimathandizira kulimbitsa minofu komwe 80% ya insulin receptors yonse imakhala. Chifukwa chake, pamene minofu imagwira ntchito bwino, zolandirira bwino zimagwira ntchito yawo.

Mwa zina, mudzayenera kusiya zizolowezi zoipa: Kusuta kumachepetsa njira za metabolic mthupi, ndipo mowa umakhala ndi index yayikulu ya glycemic.

Nthawi zina, kusintha kwa zakudya komanso kuwonjezereka kwa zomwe wodwala sangakupatseni zomwe mukufunazo, dokotala atha kukulemberani mankhwala ena. Mankhwala osiyanasiyana amasankhidwa payekha malinga ndi momwe wodwalayo alili. Nthawi zambiri, Metformin 850, Siofor, Glyukofazh, Aktos (nthawi zambiri) ndi ena amadziwika kuti athetse insulin.

Monga momwe machitidwe awonetsera, sikuli kwanzeru kubwezeretsanso mankhwala ndi wowerengeka azitsamba, chifukwa zotsalazo sizibweretsa zotsatira.

Chifukwa chake, musataye nthawi ndikuyang'anitsitsa kusintha zakudya ndikukhazikitsa njira zina zomwe adotolo angapeze. Pankhaniyi, mwayi wowachiritsa udzakhala wokwera kwambiri.

Zakudya za insulin kukana

Kudya wokhala ndi index yayikulu yolimbana ndi insulin sikutanthauza kufa ndi njala. Ziyenera kukhazikitsidwa potsatira malamulo a kudya zakudya zopatsa thanzi. Zogulitsa zonse zomwe zimakhala ndi index yayikulu ya glycemic siziphatikizidwa ndi menyu: choyambirira, mbatata, maswiti, mkate wopangidwa ndi ufa wa tirigu, chifukwa zimachulukitsa kwambiri zomwe zili m'magazi, zomwe sizivomerezeka pamankhwala.

Ndikofunika kuphatikiza mumndandanda wazogulitsa zambiri ndi index yotsika ya glycemic. Zomwe zimakhala ndi fiber zambiri zimakhala zabwino. Zakudya zoterezi zimakhala zothandiza, chifukwa zimakumbidwa pang'onopang'ono, ndipo shuga amatuluka pang'onopang'ono.

Kuphatikiza apo, mumasamba muyenera kuyika zakudya zokhala ndi mafuta ochulukirapo. Kuchuluka kwa mafuta ochulukirapo, m'malo mwake, kuyenera kuchepetsedwa. Zakudya zomwe zimakhala ndi mafuta ambiri okhala ndi polyunsaturated zimaphatikizapo avocados, komanso mafuta, monga maolivi kapena ofiira.

Zakudya zambiri zamafuta ambiri zimayenera kuchepetsedwa (kupatula batala, zonona, mwanawankhosa, nkhumba, ndi zina) kuchokera pachakudya). Komanso, mndandandawu uyenera kuphatikiza nsomba zamitundu yosiyanasiyana, popeza ndi mafuta omega-3 acids, omwe amachititsa chidwi cha maselo kuti apange insulin.

Zakudya pa nthawi ya chithandizo ziyenera kuphatikizapo zipatso zatsopano (zipatso za zipatso, maapulo, mapeyala, ma apricots), zipatso, masamba (mtundu uliwonse wa kabichi, nyemba, sipinachi, kaloti zosaphika, beets). Mkate umaloledwa kokha kuchokera ku chimanga chonse kapena ufa wa rye. Mwa mbewu monga chimanga, buluwheat ndi oat ndizothandiza kwambiri.

Zina zomwe muyenera kusiya khofi. Inde, chakumwa ichi chili ndi zinthu zambiri zofunikira, koma kukana kwa insulin kumangoyipitsa: caffeine imapangitsa kupanga insulin.

Zosintha ziyenera kupangidwa muzakudya zokha. Choyamba, sikofunikira kulola kuti maola opitilira atatu ndi 3,5,5 athere pakati pa chakudya. Chifukwa chake, ngakhale mutakhala kuti mumadya kawiri pa tsiku, chizolowezichi chizisinthidwa kukhala chopatsa thanzi. Kusiyana kwakukulu pakati pa chakudya, makamaka kuoneka ngati njala yayikulu, kumayambitsa hypoglycemia.

Ndikofunikanso kuwona boma la kumwa: munthawi ya mankhwalawa ndikofunika kumwa madzi oyera - osachepera 3 malita. Ngati njira yodonerayi ndi yachilendo, musasunthirenso modzidzimutsa - impso sizingathe kupirira. Poyamba, ndibwino kumwa madzi ochulukirapo kuposa masiku onse, koma pang'onopang'ono mubweretseni kuchuluka kwa madzi kwa magalasi 8 - 9 patsiku. Kanemayo munkhaniyi ayankhula mwatsatanetsatane za vutoli.

Njira yolozera ya NOMA

Ndi chizolowezi cha thupi la munthu kudwala matenda ashuga, kafukufuku amapangidwa pamlingo wa insulini komanso momwe amathandizira pakuwunika kwachilengedwe. Njira imodzi yodziwika ndi thupi la Homa., kuwonetsa chiŵerengero cha insulin ndi shuga.

Njira iyi imakupatsani mwayi:

• Dziwani zizindikiro za matenda ashuga kumayambiriro.
• Ikani panthawi yake njira zoyenera zochizira.

Zizindikiro

Mu thupi laumunthu, machitidwe amomwe amachitika mwanjira zosiyanasiyana, amakupatsani mwayi wopeza zinthu zofunikira ndi ziwalo zonse.

Mukamadya m'matumbo am'mimba, machitidwe a kutembenuka kwa zinthu zomwe zikulowetsa shuga amapezeka, omwe amalowa m'magazi atadziwitsidwa ndi insulin, kulowa m'maselo. Ngati njira za metabolic zasokonezeka pazifukwa zina, kuchuluka kwa glucose m'magazi kumachitika.

Pali kusiyana mu mulingo wa insulin ndi shuga - mkhalidwe wa insulin. Kukula kwa glucose kumayambitsa kuwonjezeka kwa kupanga kwa mahomoni, zomwe zimathandizanso kuti achulukane. Ngati njira m'thupi zikusokonekera, glucose owonjezera amasinthidwa kukhala mafuta, ndikudziunjikira m'masamba, omwe amachepetsa njira zama metabolic.

Kuti mudziwe momwe thupi la wodwalayo lilili, maphunziro amachitika, pomwe zotsatira zake zimatsimikiziridwa, ndipo ngati chindapusa cha Homa chili 2,5-2.7, ndiye kuti njira zake zimadutsa malire ena. Chifukwa chake, muyezo wa index wa Homa ndi: 2.5-2.7

Timalandila zotsatira zake, index ya Homa itachuluka komanso kupitilira zovomerezeka, pamakhala zovuta zina zomwe zimapangitsa kuti pakhale matenda otsatirawa:

• Arteriosulinosis,
• Matenda a shuga,
• Matenda oopsa

Momwe mungakonzekerere phunzirolo?

Ngati pakufunika kuyesedwa kuti mupeze cholondolera cha Homa, malamulo angapo azofunikira azitsatiridwa:

1. Kupereka kwa magazi kosanthula kuyenera kuchitika m'mawa pakadutsa maola 8 mpaka 11.
2. Musanapereke magazi, musadye chakudya kwa maola 8 mpaka 14. Madzi okha ndi omwe amaloledwa.
3. Ndikofunikira kuti muchepetse kudya kwambiri tsiku lisanafike poyesa.

Kodi phunziroli lidzakonzedwa liti?

• Pakakhala zopatuka m'thupi.
• Kuchulukitsa kuchuluka kwa insulin, kumathandizira kukulitsa kukhumudwa.
• Kuchulukitsa chilakolako.
• Kutopa
• Kukula kwa matenda a shuga.
• Atherossteosis ndikofunikira kuchita kafukufuku.

Nthawi zina, thupi limasungidwa ndi insulin poletsa kutulutsa shuga.

Pa mulingo wabwinobwino wama glucose omwe amaperekedwa ndi thupi mpaka kufika pa 80% ya zinthu zonsezo, maselo amisempha minofu amatenga nawo mbali. Ngati minofu ya minofu itayika ndikuyamwa kwa glucose, kukana insulini kumachitika.

Zizindikiro ndi zinthu zingapo zomwe zingayambitse kuwonongeka kwa mkhalidwe:

1. Matenda oopsa.
2. Kunenepa kwambiri pamimba.
3. Kutsitsa cholesterol - hypoalpha cholesterol.
4. Kukhazikika kwa zizindikiro za matenda ashuga a 2.
5. Kuchulukitsa kwa triglycerides.

Zizindikiro zoyambirira za insulin

Matendawa amatha kuonekera zizindikilo zake zikapezeka:

1. Kugona kumachitika mukatha kudya.
2. Idachepetsa chidwi.
3. Kumachitika kwa kusiyana magazi.
4. Kusokoneza kwam'mimba.
5. Maonekedwe a wosanjikiza mafuta m'chiuno.
6. Maonekedwe a kukhumudwa.
7. Maonekedwe a mkhalidwe wanjala.

Pa kuyezetsa magazi, zotupa zimatha kupezeka:

• Mafuta akulu mtima,
• Kuchuluka kwa shuga
• Mapuloteni mumkodzo
• Kuwonjezeka kwa triglycerides.

Zizindikiro ndi kuwerengera kwa mndandanda wa Homa

Odwala, magazi amatengedwa kuchokera m'mitsempha kuti adziwe zovuta za metabolic.

Pakuwerengera, njira iyi imagwiritsidwa ntchito: Homa-Ir = IRI (μED / ml) X GPN (mol / L) /22.5, kumene Сaro = GPN (mol / L) / IRI (μED / ml).

Kuwerengera kwa Homa kumachitika malinga ndi njira yomwe idathayo imagwiritsidwira ntchito:

• IRI - zomwe zili mu insulin yogwira ntchito m'magazi,
• GPN ndizopezeka m'magazi a m'magazi a plasma.

Muyezo wa Homa index wofika 2.7 umawoneka ngati wabwinobwino, ndipo pamwambapa umawonetsa kukhalapo kwa insulin.

Tiyeneranso kukumbukiranso kuti kuwunika kwa Homa index kukachitika, pakhoza kukhala chiwonjezeke cha chizindikiro cha matenda a wodwala:

• Matenda a chiwindi C.
• Type 2 shuga.
• Matenda a chiwindi.
• Steatosis.

Kuwonjezeka kwa insulin m'thupi kungapangitse:

• Kukula kwa atherosulinosis.
• Kumwedwa kwamitsempha yamagazi.
• Kuchepetsa kuthamanga kwa magazi, komwe kumatha kuchitika kuti pakhale stroko, kugunda kwa mtima, matenda osiyanasiyana a mtima ndi miyendo.

Chifukwa cha zotsatira za insulin, dongosolo lamanjenje limasokonekera, kuchuluka kwa norepinephrine kumabweretsa vasospasm ndikuwonjezereka kwa mavuto. Ma protein a protein amathandizira kuti achedwe kutuluka kwa sodium ndi madzi mthupi, zomwe zingayambitse matenda oopsa.

Chithandizo cha insulin kukana matenda

Nthawi zambiri pamakhala zochitika pamene cholozera cha Homa chikuwonjezeka, ndichitenji?

Kubwezeretsa kwathunthu mulingo wakuthupi ndi insulin kukana kumatheka ndi:

• Chitani masewera olimbitsa thupi nthawi zonse,
• Patsani zakudya zapadera,
• Kuchepetsa zomwe zimapangitsa,
• Kutsatira kwambiri zakudya, kupumula ndi kugona,
• Kumwa mankhwala.

M'pofunika kuwunika mosamalitsa gawo lina la zakudya. Chepetsani kugwiritsa ntchito mikate yoyera, semolina, mbatata. Zakudyazo ziyenera kukhala ndi nyama yopendekera, masamba atsopano, mkate wa rye, mankhwala amkaka.

Ndikofunikira kuyang'anitsitsa kulemera kwanu ndikupanga malamulo kudzera pamasewera. Pali kudalira kwachindunji, popeza ma insulin receptors, mpaka 80% omwe ali gawo la minofu minofu, amachititsa kuti ntchito yawo iwonjezeke minofu, zomwe zimapangitsa kuti timadzi timene timayamwa. Kupanikizika kwa zopanikizika ndi chinthu china chothandizira kuchepetsa thupi.

Chofunika kwambiri ndi kusiyanasiyana ndi zakudya:

• Shuga (pafupipafupi)
• Chakudya chofulumira
• Zakudya zouma ndi zakudya zamzitini,
• Zakudya zamchere zambiri
• Madzi a Soda okhala ndi shuga.

Ndikofunikira kutsatira chikhalidwe cha madzi akumwa masana, omwe ayenera kukhala oposa 2 l, kuphatikizapo:

• Zipatso ndi zipatso zamasamba,
• Chodzikongoletsera cha m'chiuno cha rose,
• Mitengo ya zipatso zopanda shuga ndi zakumwa zakumwa.

Shuga womwe umapezeka muzinthu zambiri umasinthidwa bwino ndi kupanikizana, ndipo mbale zazikulu zimayenera kuzimitsidwa kapena kuphika. Ngati ndi kotheka, batala liyenera kusinthidwa ndi mafuta a masamba.

Mankhwala omwe amaperekedwa ndi matenda a shuga:

1. Gulu la mankhwala omwe amalimbikitsa kupanga insulin (sulfonylurea): maninil, shuga, glycvidok. Mankhwala omwe amakhudzidwa ndi kapamba: starlix, novonorm.
2. Mankhwala osokoneza bongo omwe amathandizira kutsegula kwa ma receptor, kukulitsa chiwopsezo cha maselo: actos, siofor, biguanides.
3. Mankhwala omwe amachepetsa shuga kulowa m'magazi: glucobai, resulin.
4. Mankhwala omwe amachititsa kuti insulini igaye chakudya:

Kugwiritsa ntchito cholozera cha Homa kuzindikira momwe odwala aliri kumakupatsani mwayi wofulumizitsa kulandira zotsatira zenizeni zomwe zili momwe ziliri, komanso kudziwa komwe matenda ena angawonekere.

Kukula kwa matenda

Amakhulupilira kuti insulin sensitivity imachepetsedwa chifukwa cha kunenepa kwambiri. Koma zimachitika kuti kukana insulini kumayamba ndi kulemera koyenera. Nthawi zambiri, matenda a zam'mimba amapezeka mwa amuna pambuyo pa zaka 30, ndipo mwa akazi pambuyo 50.

Poyamba anthu ankakhulupirira kuti matendawa amakhudza anthu akuluakulu okha, koma m'zaka zaposachedwa, kuwunika kwa insulini mu achinyamata kwachulukitsa kasanu ndi kamodzi.

Pokonza insulin kukana, magawo angapo amasiyanitsidwa:

1. Pothana ndi zakudya zamafuta, kapamba amakulitsa insulin. Amasunga shuga wambiri m'magazi chimodzimodzi. Hormayo imathandizira maselo am'mimba ndi maselo amafuta kuyamwa glucose ndikupanga mphamvu.
2. Kugwiritsa ntchito molakwika zakudya zopanda pake, kusachita masewera olimbitsa thupi, komanso kusuta kumachepetsa kugwira ntchito kwa zolandilira zomvera, ndipo minofu yake imasiya kuyanjana ndi insulin.
3. Mwazi wamagazi umakwera, poyankha izi, kapamba amayamba kupanga insulini yambiri, komabe amakhalabe osagwiritsidwa ntchito.
4. Hyperinsulinemia imabweretsa kumverera kosalekeza kwaanjala, kusokonezeka kwa metabolic komanso kuthamanga kwa magazi.
5. Hyperglycemia, imabweretsa zotsatira zosasintha. Odwala amatenga matenda a shuga angiopathy, kulephera kwa impso, neuropathy.

Kuwerengeredwa kwa NOMA

HOMA Index (NOMA) njira yofala kwambiri yodziwira kukana insulini. Amakhala ndi kuchuluka kwa shuga ndi insulin m'magazi. Amatsimikiza kugwiritsa ntchito fomula mwamphamvu pamimba yopanda kanthu.

Kukonzekera kudutsa mawunikidwe:

• kusanthula kuyenera kuchitika mosamala pamimba yopanda kanthu,
• chakudya chotsiriza chikuyenera kukhala maola 12 chisanachitike kusanthula,
• chakudya chamadzulo usiku watha kukhala wopepuka
• kusanthula nthawi kuyambira 8:00 mpaka 11:00 m'mawa.

Nthawi zambiri, zotsatira za kusanthula kwa anthu azaka 20 mpaka 60 ziyenera kukhala kuyambira 0 mpaka 2.7. Manambala pamtunduwu amatanthauza kuti kumva za minyewa yachilengedwe kumakhala kwabwinobwino. Ngati chizindikirocho chikuwonjezeka, ndiye kuti wodwala wapezeka ndi insulin.

Kutengera ndi kuchuluka kwa shuga m'magazi, pali: prediabetes ndi shuga. Matenda a shuga sangakhale matenda, koma chifukwa chachikulu choganizira za zakudya zanu komanso moyo wanu.

Izi zikusintha, ndiye kuti, ndikusintha kwa moyo, kupezekanso kwa matenda ashuga. Popanda chithandizo chokwanira, prediabetes isandulika mtundu 2 shuga.

Insulin insensitivity

Zoyenera kuchita mukazindikira insulin, dokotala akukuuzani. Chithandizo chiyenera kukhala chokwanira.

• zakudya zama carb ochepa
• kumwa mankhwala
• zolimbitsa thupi.

Chakudya chopatsa thanzi glucose chiyenera kukhala chochepa-carb. Odwala onenepa amalangizidwa kuti azidya mikate 12 patsiku. M'pofunika kwambiri kusankha kusankha kwa zakudya zanu pazakudya zanu - mbale zokhala ndi mndandanda wokwanira wa glycemic, komanso zakudya zamafuta ndi nyama yokazinga ziyenera kutha kwathunthu kuzakudya.

Kodi chimaloledwa kudya chiyani?

• masamba ndi zipatso
• skim mkaka,
• mtedza
• nsomba
• nyama yokonda
• chimanga.

M'moyo wodwala, payenera kukhala malo ophunzirira zolimbitsa thupi. Utha kukhala ulendo wopita ku masewera olimbitsa thupi, dziwe, kuthamangira asanagone. Anthu onenepa kwambiri amatha kuyenda. Yoga amathanso kukhala othandiza. Asanas ake amathandizira kukhazikika m'mitsempha, kuchepetsa kugona, komanso kukonza chimbudzi. Kuphatikiza apo, wodwalayo ayenera kupanga lamulo kuti asagwiritse ntchito kukweza, ndipo akamagwiritsa ntchito zoyendera pagulu, pitani 1 mpaka 2 poyambirira ndikuyenda kunyumba.

Kanema wokhudza matenda a shuga, zovuta zake komanso chithandizo:

Mankhwala

Pofuna kuthana ndi matenda, dokotala amatha kukupatsani mankhwala otsatirawa:

1. Metformin- mankhwalawa amaletsa kutulutsa shuga mu chiwindi kulowa m'magazi ndikuwongolera magwiridwe antchito aubongo. Chifukwa chake, amachepetsa kuchuluka kwa insulin m'magazi ndikuthandizira kuchepetsa katundu pa kapamba.
2. Acarbose Ndi mankhwala a hypoglycemic. Zimawonjezera kuyamwa kwa glucose m'mimba, komwe, kumabweretsa kutsika kwa kufunikira kwa insulin mukatha kudya.
3. Pagogazone - Osamatenga nthawi yayitali chifukwa cha poizoni. Mankhwalawa amathandizira chidwi cha insulin, koma amatha kubweretsa vuto la mtima komanso sitiroko. Chifukwa chake, kugwiritsa ntchito kwake ndikochepa.
4. Troglitazone - amagwiritsidwa ntchito pochiza insulin. Kafukufuku awonetsa kuti mtundu wachiwiri wa matenda ashuga udaletsedwa mu kotala la anthu omwe adaphunzira.

Chithandizo cha anthu

Kumayambiriro kwa chitukuko cha insulin, mutha kugwiritsa ntchito mankhwala kutengera maphikidwe ena:

1. Blueberries. Supuni imodzi yokha yamasamba obiriwira amawatsanulira 200 ml ya madzi otentha. Pakatha mphindi 30, tsanulira ndikugawa galasi mu 3 waukulu tsiku. Decoction wotereyo amathandiza kuchepetsa shuga m'magazi, koma pokhapokha matendawa atadwala.
2. Wachigawenga stevia. Tengani supuni 1 ya Crimea yodulidwa ndikutsanulira 200 ml ya madzi otentha. Kuumirira mphindi 15, ndiye kupsyinjika. Imwani tsiku lonse m'malo mwa tiyi. Zomera zimatha kuchepetsa shuga ndi cholesterol, kusintha chiwindi ndi kapamba.
3. Msuzi wa nyemba. Thirani madzi okwanira 1 litre mu poto ndikuwonjezera nyemba 20 za nyemba. Valani moto ndi kuwira. Kenako yikani kusakaniza. Njira ya mankhwala ndi 1 mpaka 2 miyezi. Tengani tsiku lililonse m'mawa, pa nkhomaliro komanso madzulo. A decoction amagwiritsidwa ntchito kuti magazi abwinobwino.
4. Kulowetsedwa kwa nettle. Tengani 800 g wa nettle ndikuwatsanulira ndi malita a 2,5 a mowa. Kuumirira masiku 7, ndiye mavuto. Tengani supuni zitatu theka la ola musanadye, supuni 1.

Masiku ano, aliyense akhoza kuyamba kutengeka ndi insulin. Ngati matenda awa atapezeka mwa inu nokha, munthu ayenera kusintha moyo wake posachedwa. Ndikosatheka kubwezeretsa chidwi cha maselo kuti apange insulin kokha ndi mankhwala.

Wodwala ayenera kudzipangira yekha ntchito: kudzikakamiza kuti adye moyenera, kusewera masewera, kusiya zizolowezi zoipa. Tsoka ilo, anthu safuna kusintha miyoyo yawo ndipo sanamvere malangizo a madokotala, mwakutero amayambitsa chitukuko cha matenda osokoneza bongo komanso zovuta zina za matendawa.