Momwe mungaperekere magazi a insulin

Kuyesedwa kwa magazi kwa insulin kumapangitsa kuzindikira kwa nthawi yayitali matenda omwe angathe kuchepetsa kwambiri moyo. Kuyesa kwa insulin, komwe kumachitika nthawi ndi nthawi, kumakuthandizani kuzindikira zolephera zake ndikuyamba kukonza mankhwala.

Insulin ndi mahomoni a protein omwe ndi ofunikira kwambiri kuzinthu zonse komanso ziwalo zathupi. Hormoni iyi imapereka chithuzi chopita nazo ku ma cell.

Insulin imakhudzidwa ndikusunga moyenera chakudya chamagulu. Homoni imapangidwa modabwitsa, kuphatikiza kwake m'magazi kumachulukitsidwa nthawi zonse mukatha kudya.

Zisonyezo za kuyesa kwa insulin

Hormoni iyi imayang'anira zovuta zamapuloteni, komanso momwe zimagwirira ntchito chakudya, mapuloteni komanso mafuta. Hormone iyi imakhudzidwa ndi kayendedwe ka mphamvu zamagetsi chifukwa cha ma glycogens, omwe ntchito yawo ndikupanga mphamvu zamagetsi.

Zikondazo zimatulutsa insulini pogwiritsa ntchito maselo ena otchedwa islets of Langerhans. Pakakhala vuto la ntchito yawo ndikuchepa kwa insulin 20%, mtundu woyamba wa shuga umayamba kupangika m'thupi la munthu.

Nthawi zina zimachitika zinthu zikafika poti kuchuluka kwa insulini kumatulutsa sikucheperachepera, maselo sakuvomereza. Chifukwa chake, kukana insulini kumachitika. Poterepa, mtundu 2 wa shuga umapangidwa.

Ngati mukukayikira kukhalapo kwa matenda oterewa, ndiye kuti muyenera kupenda kuti muwone kuchuluka kwa mahomoni omwe amapangidwa, chifukwa shuga imakhala ndi zovuta zambiri. Miyezo yamagazi yokhala ndi insulin yambiri:

• 3 - 25 mcU / ml ya akulu,
• 3 - 20 μU / ml ya ana,
• 6 - 27 microns unit / ml ya kutenga pakati,
• 6 - 36 mcU / ml kwa anthu atatha zaka 60.

Kuchuluka kwa insulin mwa ana aang'ono sikusintha chifukwa cha kuchuluka kwa zakudya zomwe amadya. Kuzindikira kwa insulini kumawonjezeka pa nthawi yakutha. Ndiye kuchuluka kwa insulini m'magazi mwachindunji kumadalira kuchuluka kwa chakudya chomwe chimabwera ndi chakudya.

M'magazi, insulini imakwera pamene michere yambiri ilowa m'thupi. Chifukwa chake, kuti muwone kusanthula kwa insulini muyenera kuchita pamimba yopanda kanthu. Kafukufuku sachitika pambuyo pa jakisoni wa insulin.

Ngati mulingo wa insulin uli pansipa, ndiye kuti izi zikuwonetsa matenda osokoneza bongo, ngati apamwamba - pafupifupi kapangidwe kake kapamba. Kusanthula panthawi yake kumakupatsani mwayi wazomwe mukudwala.

Kuyesa kwa magazi

Magazi a maphunziro ambiri amatengedwa kwambiri pamimba yopanda kanthu, ndiye kuti, pakatha maola 8 pakati pa chakudya chotsiriza komanso kupereka magazi (makamaka maola 12). Madzi, tiyi, khofi, ayeneranso kupatulidwa.

Mutha kumwa madzi.

Masiku 1-2 pamaso pa mayeso, kupatula zakudya zamafuta ndi mowa pazakudya. Ola limodzi musanatenge magazi, muyenera kupewa kusuta.

Asanapereke magazi, zolimbitsa thupi siziyenera kupatula.
Magazi sayenera kuperekedwa mwachangu atatha njira zoyesera za radiation (X-ray, ultrasound), kutikita minofu, Reflexology kapena njira zolimbitsa thupi.

Popeza njira zosiyanasiyana zakufufuzira ndi mayunitsi atha kugwiritsidwa ntchito m'malo osiyanasiyana, ndikulimbikitsidwa kuti zizichitika mu labotale momwemo kuti mumawunike moyenera komanso kufananiza zotsatira za mayeso anu a labotale.

Asanadzipereke kuyezetsa magazi konse. chomaliza chakudya sayenera kukhala kale kuposa 3 maola pamaso magazi.

Kuti mudziwe cholesterol. magazi lipoproteins amatengedwa pambuyo maola 12 akusala kudya. Kuti mudziwe kuchuluka kwa uric acid, ndikofunikira kutsatira zakudya: kukana kudya zakudya zokhala ndi purines - chiwindi, impso, kuchepetsa nyama, nsomba, khofi, tiyi mu zakudya.

Kupereka magazi kufufuza kwamafuta anachita pamimba yopanda kanthu (makamaka m'mawa, popanda mwayi wotere - maola 4-5 mutatha chakudya chomaliza masana ndi madzulo).

Mukamayang'ana mulingo Prostateant antigen (mwachidule PSA kapena PSA) madzulo ndi tsiku la kafukufuku, kudziletsa kuyenera kuyang'aniridwa mosamala. Magazi sangaperekedwe patapita masiku angapo pambuyo pa TRUS kapena palpation ya prostate gland (prostate).

Zotsatira za kuwonera kwa mahomoni mwa azimayi amsinkhu wobala zimakhudzidwa ndi zochitika za thupi zomwe zimakhudzana ndi gawo la msambo, chifukwa pokonzekera mayeso a mahomoni ogonana, gawo lazungulira liyenera kuwonetsedwa.

Kuberekera dongosolo mahomoni renti pamasiku azungulira:
LH, FSH - masiku 3-5,
Estradiol - masiku 5-7 kapena 21-23 a mkombero,
progesterone 21-23 masiku ozungulira.
prolactin
DHA sulfate, testosterone - masiku 7-9.
Magazi a insulin ndi C-peptide amaperekedwa mosamala pamimba yopanda kanthu m'mawa.
Mahomoni a chithokomiro, insulin, C-peptide amaperekedwa mosasamala tsiku la kuzungulira.

General matenda kusanthula kwa mkodzo.

Pa kusanthula kwakanthawi, gawo lokhazikika la mkodzo limangogwiritsidwa ntchito. Milo zingapo zoyambirira za mkodzo zimakokedwa kuti muchotse maselo ofunikira kuchokera ku urethra. Chitani chimbudzi chakunja. Mitseko yofufuzira iyenera kuperekedwa mkati mwa maola awiri kuchokera nthawi yopereka.

Kusunga mkodzo wa tsiku ndi tsiku.

Mitsempha imasonkhanitsidwa kwa maola 24 munthawi yovomerezeka (pafupifupi 1.5 malita patsiku). M'mawa pa maola 6-8 ndikofunikira kukodza (kutsanulira gawo ili la mkodzo), kenako masana sonkhanitsani mkodzo wonse mu chotengera chamgalazi choyera ndi chivindikiro, mphamvu yake ndi malita awiri. Gawo lomaliza limatengedwa ndendende nthawi yomwe zosonkhanitsira zidayambitsidwa tsiku lisanachitike (nthawi yoyambira ndi kumapeto kwa chopereka idadziwika). Chidebe cha mkodzo chikuyenera kusungidwa pamalo abwino. Pamapeto pa kusonkhanitsa mkodzo, kuchuluka kwake kumayesedwa, mkodzo umagwedezeka ndipo 50-100 ml imatsanuliridwa mumtsuko momwe umaperekedwa ku labotale.

Ndikofunikira kuwonetsa kuchuluka konse kwamkodzo watsiku ndi tsiku!

Kutolere kwa urine malinga ndi njira ya Nechiporenko.

Atagona (pamimba yopanda kanthu), gawo limodzi lokhazikika la mkodzo limasonkhanitsidwa. Kutola kwa mkodzo kumachitika molingana ndi njira ya mitundu itatu: wodwalayo amayamba kukodza mu kapu yoyamba, akupitilizabe - yachiwiri, imamaliza - yachitatu. Voliyumu yayikulu kwambiri iyenera kukhala gawo lachiwiri, kusonkhanitsa kwake kumachitika ndi mbale yoyera, yopanda utoto ndi khosi lonse. Gawo lokhazikika la mkodzo (20-25 ml) limaperekedwa kwa iwo

Kutola kwa mkodzo kuti mupeze kafukufuku ku Zimnitsky.

Wodwalayo amakhalabe pachakudya, koma amaganizira kuchuluka kwa madzi omwe amamwetsa patsiku. Pambuyo pochotsa chikhodzodzo nthawi ya 6 koloko maola atatu aliwonse masana, mkodzo umasonkhanitsidwa mumzinthu zowerengera, zomwe zikuwonetsa nthawi yosonkhanitsa kapena kuchuluka kwa ma seva. Kutumizira 1 - kuyambira 6-00 mpaka 9-00, 2 kutumikirako - kuyambira 9-00 mpaka 12-00, 3 kutumikirako - kuyambira 12-00 mpaka 15-00, 4 kutumikirako - kuyambira 15-00 mpaka 18-00, 5 kutumikira - kuyambira 18-00 mpaka 21-00, servings 6 - kuchokera 21-00 mpaka 24-00, servings 7 - kuyambira 24-00 mpaka 3-00, servings 8 - kuyambira maola 3-00 mpaka 6-00. Mitseko yonse yosungidwa mumipanda 8 yapadera imaperekedwa ku labotale.

Kafukufuku wa enterobiosis (kudziwa teniidae ndi pinworms).

Pa kafukufukuyu, biomaterial imatengedwa kuchokera kumakola a perianal (mozungulira anus) ndi wodwalayo. Njirayi imagwiridwa m'mawa nthawi yomweyo mutadzuka pabedi PAMBUYO WA HYGIENIC Procedurates, URINARY NDI DEFECATION. Ndi swab ya thonje, zinthu zimatengedwa pamalingaliro ozungulira kuchokera kumapanga a perianal (pomwe ma helminths pamwambapa amayikira mazira awo). Pambuyo poti nduyo wayikidwa mu chidebe chapadera (chitsiriziro chosagwiritsidwa ntchito cha thonje chakotoni chimayenera kuchotsedwa). Chifukwa chake, zinthuzo ndizokonzeka kuzipereka ku labotale.

Kodi kuyesedwa kwa insulin kumawonetsa bwanji komanso momwe angatengere?

Dokotala wa endocrinologist adziwa matenda a shuga nthawi ngati insulin iwunikidwa. Insulin ndi yofunika kuti kagayidwe. Zomwe mayeso a insulin amawonetsa katswiri yekha anganene. Pokhala mahomoni achilengedwe a peptide, imabadwira munkhokwe ya maselo a beta m'malo a Langerhans a kapamba. Maselo amakhudza kusintha kwa masisitimu onse amoyo.

Ntchito zofunikira za mahomoni mukukwanitsa kwake kuchepetsa kuchuluka kwa shuga m'magazi. Zimawonjezera kuwonjezeka kwa mitundu yonse ya plasma cytolemma yama chakudya kuchokera ku gulu la monosaccharide, imayendetsa glycolysis Fermentation, imapanga ma carbohydrate, omwe ndi mamolekyulu a shuga, ndikuwonjezera mapuloteni ndi mafuta. Chifukwa cha insulin, ntchito ya alkaloids yomwe imaphwanya glycogen ndi triglycerides imaponderezedwa. Amadziwika ndi anabolic komanso anti-catabolic zotsatira.

Ndikofunikira kuyezetsa magazi a insulin, kuzindikira momwemo kudzathandizira kukhazikitsa matenda. Ngati thupi la munthu mulibe mahomoni amenewa, dokotala amadzazindikira kuti ali ndi matenda ashuga 1. Tikuyankhula za kuphwanya kwazinsinsi chifukwa cha kufooka kwa maselo a beta. Ndi matenda a mahomoni, njira ya kuperewera kwa insulin imachitika, nthenda yachiwiri imayamba.

Popeza ndi matenda a shuga, matendawa amakhala ndi zovuta zambiri, ndikulimbikitsidwa kuyesa magazi a insulin.

Ndikofunikira kuyezetsa magazi a insulin, kuzindikira momwemo kudzathandizira kukhazikitsa matenda. Ngati thupi la munthu mulibe insulin, adokotala endocrinologist amazindikira mtundu wa matenda ashuga a mtundu 1. Tikuyankhula za kuphwanya kwazinsinsi chifukwa cha kufooka kwa maselo a beta. Ngati timadzi timagwira minofu, kuperewera kwa insulini kumachitika, mtundu wachiwiri wa matenda a shuga umayamba. Popeza ndi matenda a shuga, matendawa amakhala ndi zovuta zambiri, ndikulimbikitsidwa kuyesa magazi a insulin.

Momwe mungayesere mayeso a insulin?

Kuti tichite kusanthula palibe chifukwa chokonzekera kwambiri. Ndikokwanira kugona madzulo, ndipo m'mawa, kudzuka, osadya kapena kumwa chilichonse. Kuti zotsatira zake zizikhala zolondola, muyenera kupewa kudya nyama yokazinga ndi mafuta patsiku. Ngati kusanthula kumafunika kuchitika nthawi ina, kwa maola asanu ndi atatu mumangomwa madzi ochepa okha kuti muwunike pamimba yopanda kanthu.

Magazi samalimbikitsidwa kumwa pambuyo pochita masewera olimbitsa thupi ndi kuledzera. Komanso bweretsani njira pambuyo mitundu yonse yazidziwitso:

1. malalachi
   
2. Ultrasound
   
3. radiology
   
4. physiotherapy
   
5. mayeso a rectal.

Ndikofunika kumwa magazi musanamwe mankhwala. Ngati pali mankhwala omwe mankhwalawo amalembedwa ndipo sangathe kuimitsidwa, kuyezetsa magazi kumatenga mankhwala onse omwe wodwala amatenga ndi mlingo wake. Nthawi zonse munthu amatha kuyeseza insulini, momwe angatenge - dokotala.

Kodi kusanthulaaku kukuwonetsa chiyani?

Mu thupi lathanzi, insulin yokhazikika ya 3 mpaka 20 ma microns Unit / ml imapangidwa. Kulowetsa chakudya kumachulukitsa kuchuluka kwa mahomoni. Chifukwa chake, simungadye musanakonze. Odwala omwe amalandira jakisoni ndi insulin sangathe kupeza zotsatira zomaliza, chifukwa zotsatira za mayeso zikuwonetsa kuchuluka kwa mahomoni - achilengedwe komanso jakisoni. Ngati mulingo wa insulin m'thupi suupezeka, ndimazindikira matenda a shuga. Ngati hormoneyo ndi yayikulupo, ndiye chisonyezo cha ma neoplasms omwe angathe kutuluka m'mapazi. Zisumbu za Langerhans zimachulukana, maselo awo amakula, ndipo amapanga mahomoni ochulukirapo.

Ngati mumadya zakudya zowonjezera pang'ono, mahomoni sangadutse zomwe sizinachitike, zomwe ndibwino kuzilamulira podutsa mayeso a insulin.

Kodi ndiyenera kuyezetsa magazi kuti apange insulini komanso momwe angadziwire bwino?

Kodi nchifukwa ninji munthu yemwe samavutika kuwongolera insulin m'mwazi? Ndikutinso kusanthula kosavuta kumeneku kumakupatsani mwayi wodziwa zizindikiro zoyambirira zamatenda akulu omwe angawononge kwambiri moyo. Kuyesedwa kwa insulin kwakanthawi kumakuthandizani kuzindikira zolephera pakapita nthawi ndikukupatsani chithandizo chamankhwala.

Mapuloteni okhala ndi insulin ndi chinthu chofunikira kwambiri. Hormoni iyi imapereka chithuzi chopita nazo ku ma cell. Chifukwa chokha cha insulin m'thupi imakhala ndi chakudya chokwanira kwambiri. Homoni imapangidwa mozungulira, mulingo wake m'magazi nthawi zonse umakwezedwa pambuyo chakudya.

Kufotokozera kwa kusanthula

Insulin nthawi zambiri imatchedwa thunthu la mapuloteni, omwe amapangidwa ndi maselo apadera a kapamba. Kupanga kwa zinthuzi kumadalira kuchuluka kwa glucose m'magazi. Chithandizo chachikulu cha kachipangidwe kameneka ndimazindikiritso ndikuwunikira kwake momwe ntchito ya shuga imathandizira.

Awa ndi matenda oyipa kwambiri pomwe kuthamanga kwa glucose kumisempha kumakhala kosatheka. Ndizosatheka kugwiritsa ntchito glucose monga gwero lamphamvu mwa munthu yemwe ali ndi matenda a shuga, ndipo izi zimayambitsa zovuta zingapo pakugwiritsa ntchito makina osiyanasiyana.

Kuphatikiza apo, kuyesedwa kwa magazi kotereku sikuwonetsa kupezeka kwa shuga, komanso mtundu wake. Chifukwa chake, ngati maselo a gland amaleka kupanga mahomoni muyeso yofunikira, mtundu woyamba wa matenda umayamba.

Uphungu! Matenda a shuga omwe amadalira insulin amakula ngati zosakwana 20% za kuchuluka kwa timadzi timene timapangidwa m'thupi.

Mwa odwala ena, kuchuluka kwa insulini sikusintha, mulingo ungathe kuchuluka, komabe, maselo amisempha amakhala osakwaniritsidwa ndi chinthu ichi. Zotsatira zake, matenda a shuga amakula, omwe amatchedwa insulin-Independent kapena matenda amtundu wachiwiri.

Matenda a shuga ndi matenda oopsa, komanso zovuta monga:

Popeza zotsatirapo za matenda ashuga ndizowopsa, chidwi chachikulu chimaperekedwa pakuzindikira matendawa. Chifukwa chake, ngati mutazindikira kuti kuchuluka kwa timadzi timene timakweza m'mwamba makamaka chifukwa cha matenda ashuga, ndiye kuti njira zosavuta monga:

• zakudya zapadera
• makalasi ophunzitsa zolimbitsa thupi.

Chifukwa cha zinthu zomwe zatengedwa, ndizotheka kukwaniritsa kusintha kwa kulemera ndikubwezeretsa kagayidwe kazakudya ngakhale osagwiritsa ntchito mankhwala.

Zizindikiro zodzipereka

Gawani kuwunika kwa insulini pazomwe zingachitike pakuwunika kuti adziwe matenda a shuga, komanso ngati ma endocrine pathologies ena akuwakayikira.

Anthu omwe amayang'anira thanzi lawo mosamalitsa amatha kulabadira zizindikiro zowopsa ndipo amadzifunira okha chithandizo chamankhwala pofunsa kuti apatsidwe mayeso a insulin. Zizindikiro zotsatirazi ziyenera kuchenjeza:

• kusintha koopsa kwa kulemera kwa thupi mbali iliyonse, malinga ndi momwe zakudya zam'mbuyomu komanso zolimbitsa thupi zimakhalira,
• kufooka, kutopa,
• ndi kuwonongeka kwa khungu, mabala amachiritsa pang'onopang'ono.

Kodi kusanthula kumachitika bwanji?

Pali njira ziwiri zowunikira:

• Kuyesa kwanjala. Pogwiritsa ntchito njirayi, wodwalayo amawayeza pamimba yopanda kanthu.

Uphungu! Kuyambira mphindi yomaliza, pafupifupi maola 8 ayenera kudutsa chakudya chisanachitike. Chifukwa chake, kusanthula uku kumayikidwa m'mawa.

• Mayeso a kulolera a glucose. Phunziro loyambirira limapatsidwa 75 ml ya shuga kuti amwe, pambuyo pake patatha maola awiri ndikofunikira kutenga zitsanzo za magazi.

Kuti zotsatira za phunzirolo zikhale zolondola, nthawi zina ndikofunikira kuphatikiza mayeso onse awiri. Pankhaniyi, wodwala ayenera kupereka zomwe ziwonetsedwe kawiri:

• m'mawa pamimba yopanda kanthu
• itatha kuyesedwa koyamba, wodwalayo amapatsidwa chakumwa cha glucose solution ndikuwapanganso sampuli yatsopano ya magazi pambuyo pake.

Kuchita mayeso ophatikizidwa otere kumakupatsani chithunzi chatsatanetsatane ndikudziwikitsa moyenera. Komabe, popewa kuphunzira, monga lamulo, ndikokwanira kuchita mayeso "anjala" okha.

Momwe mungakonzekerere phunzirolo?

Kuti mayesowo akhale olondola, ndikofunikira kukonzekera bwino kusakanikirana kwa magazi.

• perekani magazi mwamphamvu pamimba yopanda kanthu, simungadye kapena kumwa chilichonse kupatula madzi oyera okha maola 8 zinthuzo zisanaperekedwe,
• kusanthula kuyenera kuchitika isanayambike maphunziro anu kapena sabata yatha

Uphungu! Ngati ndizosatheka kusokoneza njira yamankhwala, ndiye kuti muyenera kukambirana nkhaniyi ndi dokotala, chifukwa mankhwala ambiri angakhudze zotsatira zake.

• tsiku loti lisanachitike, muyenera kuchepetsa zakudya zamafuta, osapatula mowa, kuchita masewera olimbitsa thupi,
• ngati kupimidwa kwathunthu kwakhazikitsidwa, ndiye kuti ndikulimbikitsidwa kuti mupereke magazi musanapite kukasanthula ndi ma radiology, radiology, ndi zina zambiri.

Zikhalidwe ndi zopatuka kuzikhalidwe

Kodi insulin imakhala bwanji? Ngati zitsanzo zamagazi zidachitidwa pamimba yopanda kanthu, ndiye kuti zomwe zili mu timuyo timachokera ku 1.9 mpaka 23 µIU / ml. Izi ndizowona kwa munthu wamkulu, kwa ana zomwe zimakhazikika pang'onopang'ono ndipo zimachokera ku 2 mpaka 20 μMU / ml. Koma mwa amayi nthawi yomwe ali ndi pakati, momwe zinthu za mahomoni zimakhalira, ndizosiyana kwambiri - kuyambira 6 mpaka 27 μMU / ml.

Ngati zizindikirozo ndizochepa

Ngati kuchuluka kwa insulini kumachepa, ndiye kuti izi zitha kuwonetsa matenda a shuga 1. Zizindikiro zoyambirira za kuperewera kwa mahomoni ndi:

• kukomoka mtima,
• njala yosalekeza
• kamwa yowuma, ludzu losatha,
• thukuta kwambiri
• kusakhazikika.

Kuchepa kwa mahomoni muzochitika zina kumawonetsa kukhalapo kwa hypopituitarism, chikhalidwe chodziwika ndi kuchepa kwa ntchito ya endocrine glands.

Ngati mulingo ndi wokwera

Ngati mulingo wa mahomoni ndi wokwera, ndiye kuti sizitanthauza kuti nthawi zonse matenda. Monga tafotokozera pamwambapa, kuchuluka kwambiri kwa insulin kumakhala kwabwinobwino panthawi yapakati. Mlingo wa mahomoni ukhoza kuwonjezeka m'magawo oyamba a shuga omwe amadalira insulin ndipo chizindikiro ichi ndi chimodzi mwazizindikiro zazikulu zodziwira matenda.

Kuphatikiza apo, insulin imakwezedwa mu insulinoma (pancreatic tumors), acromegaly, ndi Itsenko-Cushing's syndrome. Nthawi zambiri, kuchuluka kwa mahomoni kumachulukitsidwa pang'ono ndi:

Kuyeza magazi kuti mupeze mulingo wa insulini ndiye njira yofunikira kwambiri yopezera matenda. Ngati mankhwalawa amachepetsedwa kwambiri, izi zitha kuwonetsa kukula kwa shuga wodalira insulin. Ndi chitukuko cha matenda ashuga amtundu wa 2 komanso zinthu zina, kuchuluka kwa mahomoni, kumakweza. Komabe, kutanthauzira koyenera pazotsatira za kafukufukuyu kungachitike kokha ngati katswiri.

Kuyesedwa kwa insulin ndi chiani?

Kuyesedwa kwa insulin ndi chiani? Chiyeso chosavuta cha insulin, chifukwa chomwe mungazindikire matendawa munthawi ya shuga ndipo ngati kuli koyenera, muthane ndi njira yochizira matendawa.

Mapuloteni a insulin ndi chinthu chofunikira kwambiri, ndikupereka mayendedwe azinthu zonse za michere ku ma cell a ziwalo za anthu ndikuthandizira gawo loyenera la chakudya. Ndikofunika kukumbukira kuti mutatha kudya shuga, kuchuluka kwa insulin m'mwazi kumachepa.

Kuchuluka kwa shuga mu hematopoietic dongosolo kumakhudzanso kupanga kwa insulin m'magazi, ndi chithunzi cha chipatala pakuwunika kwa insulin ndikuwunikira momwe ntchito yochizira matenda ashuga imayendera.

Matenda omwe afotokozedwawo ndi matenda oopsa omwe glucose omwe amakhala mulingo woyenera samalowa m'matumbo, zomwe zimayambitsa kusokonezeka kwazinthu zonse. Mothandizirana ndi izi, kuyezetsa magazi kwa insulin kumakupatsani mwayi wodziwa matenda omwe ali ndi matenda ashuga okha, komanso mitundu yake, komanso zovuta zomwe zimayenderana ndi matendawa.

Amayambitsa insulin yotsika komanso yayitali mwa amuna ndi akazi

Komabe, kuwonjezereka pang'ono kwa chizolowezi pakutsimikiza kwa insulin mwa azimayi ndi abambo kungawonetse kuthekera kwa kupezeka kwa matenda amtsogolo - matenda ashuga a mtundu wa 2 wa minofu atrophy, kupezeka kwa kulemera kwambiri kwa thupi, komanso zinthu zina zotupa za chiwindi.

Kuchepa kwa kuchuluka kwa insulini m'magazi kungayambike chifukwa chokhala ndi zochitika zolimbitsa thupi komanso mtundu wa matenda ashuga 1.

Zizindikiro zotsatirazi zikuwonetsa kupatuka kuzinthu zomwe zimapezeka mu insulin m'magazi ndizizindikiro zowonetsera:

• Kumva ludzu
• Kumva kutopa kwambiri ndi kufooka,
• Kuyendetsa mkodzo
• Zosasangalatsa kumva kuyabwa.

Pamtengo wotsika:

• Gluttony
• Chikopa
• Manja akunjenjemera ndi ziwalo zina za thupi,
• Kuchuluka kwa mtima,
• Mikhalidwe yosintha
• Thukuta kwambiri.

Kusanthula

Pozindikira matendawa panthawi yake, munthu ayenera kuyang'anitsitsa thanzi ndikumvetsera zizindikilo za thupi.

Matenda ocheperako omwe amakhudzana ndi kamwa yowuma kapena kuyabwa kuyenera kuyendera dokotala wabanja.

Kukhazikitsidwa kwa mayeso a shuga kudzakuthandizani kudziwa kupatuka mu ziwonetsero zamagazi, ndipo kudziwa chizolowezi cha insulin m'magazi kudzakuthandizani kuti muyambe kulandira chithandizo chanthawi komanso kusintha thanzi lanu.

Asanayambe njirayi, odwala amaletsedwa kudya chakudya, popeza ndi izi, zophatikiza ndi mafuta omwe zimapangitsa kuti timadzi tambiri timalowa m'thupi.

Ngati mulingo wa mankhwala a insulin sukwaniritsidwa, matenda a shuga amapezeka ngati ali ndi vutoli, ndiye kuti ndiwosakhazikika kapena kufooka m'mimba.

Insulin ndi chinthu chovuta chomwe chimatenga nawo mbali monga:

• kuchepa kwamafuta
• kupanga mapuloteni,
• chakudya kagayidwe kachakudya
• kukhazikika kwa mphamvu kagayidwe mu chiwindi.

Insulin imakhudzana mwachindunji ndi glucose wamagazi. Chifukwa cha iye, kuchuluka koyenera kwa glucose amalowa m'thupi.

Kuti mawunikidwewo akhale olondola kwathunthu, dokotala wowonera ayenera kudziwa wodwalayo malamulo okonzekera kuyambitsidwa.

Odwala amaletsedwa kudya chakudya maola 8 asanaperekedwe magazi. Ngati tikulankhula za biochemistry, nthawi yakukana chakudya imachulukitsidwa mpaka maola 12. Njira yosavuta yakukonzekera ndikukana chakudya madzulo kuti isanthule m'mawa.

Asanapereke magazi, nkoletsedwa kumwa tiyi, khofi ndi zakumwa, popeza amatha kuyambitsa kupanga mahomoni. Kuchuluka komwe mungamwe ndi kapu yamadzi. Kupezeka kwa kutafuna chingamu mkamwa kumathandizanso kuti musavutike.

Monga lamulo, amafotokozera kuwunikira zomwe zili mu insulini m'magazi ngati mbali ya kafukufuku wofufuzira kuti adziwe matenda a shuga, komanso, ngati pali kukaikira ena mwa matenda ena a endocrine.

Anthu omwe amayang'anira thanzi lawo mosamala amadzazindikira nawonso chizindikiro. Pankhaniyi, muyenera kufunsa dokotala nokha kuti asankhe mayeso okhudza insulini. Zizindikiro zotsatirazi ziyenera kumuchenjeza munthu pamenepa:

• Kusintha kowoneka mochuluka kwa thupi m'mbali iliyonse motsutsana ndi maziko azolimbitsa thupi, monga momwe mungachitire zolimbitsa thupi.
• Maonekedwe akumva kufooka komanso kutopa.
• Pakawonongeka khungu, mabala amachira pang'onopang'ono.

Kodi kuyezedwa kwa insulini kumachitika bwanji?

Kuyeza kumeneku nthawi zambiri kumagwiritsidwa ntchito kuti muunikire zomwe zimayambitsa hypoglycemia (shuga m'magazi) kapena zinthu zina zilizonse zokhudzana ndi kupanga insulin. Mchitidwewu nthawi zambiri umagwiritsidwa ntchito pofufuza komanso kuwunika insulin, momwe ma minofu amalephera kuzindikira zotsatira zake, ndikupangitsa kubwezeretsa pancreatic ndikupanga insulin yambiri.

Atapima mozama, adokotala amauza wodwalayo ngati amwe mankhwala apadera mayeso ake asanachitike. Nthawi zina mwana amafunika kupewa kudya ndi kumwa kwa maola 8 asanayambe mayeso. Monga lamulo, madokotala amapatsa cheke panthawi inayake komanso nthawi inayake, mwachitsanzo, akangomaliza kudya.

Wothandizira labotale amatenga magazi a venous pogwiritsa ntchito syringe yotaya. Tsambalo liponya mothandizidwa ndi antiseptic. Bandeji yolimba imayikidwa pamwamba pa mtsempha.

Mitsempha itatha kuwonekera bwino, katswiri wa labotale akhonya mitsempha ndikutenga magazi ofunikira.

Pambuyo pa ndondomekoyi, ulendowu wamasulidwa, singano imachotsedwa, ndikuvala chovala cha antiseptic kumayikidwa pamalo opunthira (ndikofunikira kuti dzanja lanu lizigwedezeka pamapewa osachepera mphindi zisanu kuti hematoma isapangike). Kutolerera magazi kuyezetsa kumangotenga mphindi zochepa.

Kuphatikiza magazi ndi njira yotetezedwa bwino yomwe imadzetsa kusasangalala pang'ono. Gawo la magazi lidzasinthidwa ndi makina apadera. Zotsatira nthawi zambiri zimapezeka mkati mwa masiku ochepa.

Insulin ndiye mahomoni ofunika kwambiri m'thupi la munthu. Popanda iyo, mphamvu kagayidwe m'thupi la munthu sizingachitike.

Pazinthu zachilengedwe zomwe zimapangidwa ndimadzi ofunika awa, maselo onse a pancreatic ayenera kukhala nawo. Ngati kuchuluka kwa maselo abwinobwino opanga chinthuchi amatsika mpaka 20%, matenda amtundu 1 amayamba.

Ndi mulingo wabwinobwino wa timadzi timeneti, kukula kwa kukana kwa insulin ndikotheka.

Kuyesedwa kwa insulin kumawonetsa zonyansa m'matumbo ndipo kumathandizira kudziwa matenda a shuga. Pambuyo pa kufufuza koteroko, adotolo amatha kudziwitsa moyenera ndikuyamba chithandizo chofunikira.

Zomwe madotolo amati pa matenda ashuga

Doctor of Medical Science, Pulofesa Aronova S. M.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo walera ana

Udindo wa insulin

Imayang'anira kagayidwe kazachilengedwe ndi ntchito zina zingapo, monga:

1. Kufalikira kwa glucose mu minofu ndi mafuta minofu,
2. Kuchulukana kwamachulukidwe am'mimba,
3. Kuchuluka kwa mapuloteni m'thupi,
4. Kugawika kwamafuta kukhala mphamvu.

Kuchulukitsa kwa ma enzymes opangira kuwonongeka kwa shuga mu chiwindi.

Insulin ndi gawo lofunikira pazochitika zonse za metabolic m'thupi. Popanda iyo, shuga sanapangidwe ndikukhala m'magazi, zomwe zimayambitsa kuperewera kwa hyperglycemic. Ichi ndi chikhalidwe chowopsa chomwe chimafuna chisamaliro chamankhwala mwachangu. Itha kupha mosavuta.

Kodi ndiyenera kuyesedwa liti?

Insulin ndi mahomoni omwe amawonetsa momwe kapamba amagwirira ntchito bwino. Ngakhale mutakhala kuti mulibe chifukwa chodera nkhawa za chiwalochi, mukupangabe kupitilizidwa kukayezetsa nthawi ndi nthawi.

Izi ziyenera kuchitidwa pazifukwa zotsatirazi:

• Chifukwa cha kuchuluka kwambiri kwa thupi,
• Ndi chibadwa chamtsogolo Kodi kusanthula kumachitika bwanji?

Pakadali pano pali njira ziwiri zodziwira kuchuluka kwa insulini m'magazi: kuyesa kwa njala ndi kuyesa kwa glucose. Poyamba, magazi a venous amakokedwa, omwe amawerengeredwa mu labotale.

Kachiwiri - wodwalayo amadutsa kuyezetsa magazi katatu kuchokera chala katatu:

• Pamimba yopanda kanthu. Pambuyo pake, amamwa yankho la 75 mg ya shuga,
• Mu ola limodzi
• Ndipo ola limodzi.

Malamulo Opereka Magazi

Kuti mayeso a insulini awonetsetse zolondola kwambiri, muyenera kutsatira malamulo angapo osavuta musanapereke magazi.

Mulinso malingaliro otsatirawa:

• Kupereka magazi ndikofunikira pamimba yopanda kanthu, pomwe tikulimbikitsidwa kuti tizitha kufa ndi njala kwa maola osachepera 8.
• Tsiku lotsala mpanda, siyani kulimbitsa thupi konse.
• Maola 12 musanayambe phunziroli, pewani kudya zakudya zomwe zimakhala ndi shuga.
• Kwa maola 8 - kukana kudya chakudya, mutha kumwa madzi amchere.
• Kwa masiku awiri, sinthani chakudya chopatsa mphamvu, chomwe chimaphatikizapo kukana kwathunthu zinthu zoyipa.
• Osasuta mu 2 hours.
• Siyani kumwa mankhwala patatha sabata limodzi. Komabe, musanachite izi, muyenera kufunsa dokotala kuti muwone ngati izi zikuvulazani.

Dziwani kuti mahomoni samakhudza kuchuluka kwa insulin m'magazi. Chifukwa chake, kusamba sikuyenera kukhala cholepheretsa njira iyi yodziwitsa amayi. Kuti mupeze chinthuchi m'magazi, magazi a venous amasinthidwa.

Kuphwanya kulikonse kwazowoneka bwino m'magazi kungasonyeze kuphwanya kwakukulu mthupi. Ngati owonjezera kawiri apezeka, adokotala adzazindikira kunenepa kwambiri. Ngati vuto lalikulu latsimikizika, ndiye kuti inshuwaransi ikhoza kutheka.

Ndikofunikira kudziwa chizindikiritso cha insulin kuti mutha kuwongolera njira ya chakudya komanso mafuta. Ichi ndi chizindikiritso chomwe ndizofunikira kwambiri pakuzindikira hypoglycemia, makamaka ngati ikukula pakhungu.

Chofunika kwambiri pakuwazindikira ndi kuchuluka kwa insulini yotsimikizika mu madzi a m'magazi. Nthawi zina zimayesedwa mu seramu, koma kuphunzira koteroko sikuti nthawi zonse kumakhala koona, chifukwa kumakhudzidwa kwambiri ndi mankhwala a anticoagulant. Kuti mupeze zotsatira zoyenera kwambiri, ndikulimbikitsidwa kuyesa mayeso a glucose.

Makhalidwe abwinobwino phunziroli amaperekedwa pagome.

Zero insulin m'magazi a munthu imawonetsa kukula kwa matenda ashuga amtundu wa 2. Nthawi zambiri, mapangidwe ake amakhudzidwa ndi kunenepa kwambiri, chifukwa chomwe kulolera kwa glucose kumayipa kwambiri: mutatenga njira yothetsera vutoli, kuchuluka kwa shuga m'magazi kumafikira pazotsatira zake, pambuyo pake sikusintha kwa nthawi yayitali.

Kuperewera kwa insulin

Chifukwa cha kuchuluka kwa insulini m'magazi a munthu, kuchuluka kwake kwa glucose kumakwera. Izi zimadzetsa njala yamapangidwe a ma cell, chifukwa sangathe kudziunjikira zinthu zofunikira zambiri.

Njira zama metabolic zimavutikanso, kuperewera kwamapuloteni ndi mafuta kumasokonezeka. Minofu ndi chiwindi sizilandira glycogen yokwanira, ndichifukwa chake metabolism yachilendo sathandizidwa.

Kuphwanya kotereku kumatha kuzindikiridwa ndi zizindikiro zotsatirazi: munthu amayamba kudandaula chifukwa cha njala yosatha, ludzu, kukodza mwachangu komanso kusokonezeka kwamanjenje - thanzi lake limakulirakulira. Anthu ambiri samazindikira kutalikiraku kwa nthawi yayitali, chifukwa cha zovuta zazikulu zomwe zimachitika.

Mwa zomwe zimapangitsa kuti insulin isakwanitse kulowa m'magazi ingadziwike kuti:

1. Matenda opatsirana komanso opatsirana
2. Khalidwe labwino
3. Kulimbitsa thupi kwambiri
4. Kuwonongeka kwa ubongo
5. Kupitilira pamtima,
6. Kugwiritsa ntchito zinthu zoyipa,
7. Kudya nthawi zambiri
8. Matenda a mtima.

Mukalephera kuyamba kulandira chithandizo chokwanira komanso chokwanira m'magawo oyamba, munthu akhoza kudwala matenda a shuga. Pazindikiritso kumayambiriro kwa chitukuko, kufooka koteroko kumatsekedwa mosavuta ndi chakudya chamagulu ochepa, kupatsa mankhwala a insulin m'mapiritsi, ndi mankhwala ena omwe amabwezeretsa kapamba.

Musaiwale za kufunika kosungira chitetezo chamthupi, komanso mankhwala omwe amachepetsa mitsempha yamagazi.

Kuchuluka kwa insulin

Kuchuluka kwambiri kwa insulin m'magazi a anthu kumakhalanso koopsa kwambiri. Chifukwa cha kuphwanya koteroko, ma pathologies akulu amatha kuchitika mthupi, zomwe sizidzangoyambitsa zovuta zazikulu, komanso ngakhale kufa.

Ngati simumayamba chithandizo cha kupatuka uku pakapita nthawi, munthu posachedwa adzakumana ndi chitukuko cha matenda ashuga amtundu wa 2. Zimachitika chifukwa chakuti ma cell a cellular salola kuti insulini idutsemo, chifukwa chomwe chimangokhala m'magazi. Zimakhala zopanda ntchito, chifukwa sizingathe kuyika chakudya kulowa m'thupi.

Zina mwazifukwa zomwe insulin m'magazi imatha kukwera kuposa momwe zimakhalira, pali:

• Kunenepa kwambiri
• Kuleza kwa insulin,
• Khansa yapakansa
• Ovary Polycystic,
• Matenda Achilengedwe

Dokotala wokhazikika ndi amene anganene molondola zomwe zidapangitsa kuchuluka kwa insulini m'magazi. Adzakhala akufufuzira bwino kwambiri, pamomwe angamutsimikizire. Mwanjira imeneyi ndi pomwe mungapereke mankhwala othandizira odwala matenda amisempha.

Zikhalidwe Zaumoyo

Mayendedwe operekera magazi a insulin ndi omwe ali ndi anthu omwe ali ndi zizindikiro za matenda ashuga. Kuyeza kwa insulini kumakuthandizani kudziwa kuchuluka kwa shuga ndikuwonetsa mtundu wa shuga womwe muyenera kuzindikira. Zizindikiro wamba:

• Mwa munthu wopanda kulemala kwa ntchito ndi kumva kwamphamvu kwa glucose receptors, mulingo woyenera ndi 3 - 26 μU pa millilita.
• M'mwana, ndi magwiridwe antchito a gland, ndi 3-19 mcU pa millilita (mwa ana, poyerekeza ndi momwe anthu wamba amachepera).
• Nthawi ya ana azaka 12 mpaka 16 imakhala yovuta chifukwa cha matenda ashuga. Mu achinyamata, zinthu zimasintha. The kuchuluka kwa mwana amasintha malinga ndi kukula kwa mahomoni ogonana, kuchuluka kokulirapo ndipo ziwonetsero zambiri zimakonda kukwera. Chizindikiro chokhazikika cha 2.7 - 10.4 μU, chitha kuwonjezeredwa ndi 1 U / kg.
• Mlingo wa insulin mwa amayi apakati uyenera kumwedwa pang'ono - 6 - 28 mcU pa millilita.
• Akuluakulu amakhala ndi malire otsogola - 6 - 35 mcU pa millilita.

Muyeso wa insulin m'magazi a azimayi umasintha nthawi ndi nthawi ndipo chizindikirocho chimakula ndikamamwa mankhwala a mahomoni. Zimachepa pang'ono pa nthawi ya msambo, popeza nthawi imeneyi kupanga kwa mahomoni achikazi kumachepa.

Malamulo kwa wodwala akamayesa

Kuti magazi atulukire olondola, osapotoza chilichonse, muyenera kutsatira malangizo a momwe mungapatsirane insulin moyenera:

• Muyenera kutenga mayeso a insulin pamimba yopanda kanthu, m'mawa kwambiri.
• Tsiku lisanayambe kumwa insulini, zochitika zilizonse zolimbitsa thupi siziyikidwa pambali.
• Maola 12 musanatenge magazi kuti mupange kafukufuku, simuyenera kudya zakudya zokhala ndi shuga, chakudya chamagulu ambiri - kutsatira zakudya. Maola 8 asanafike panjira musadye, tiyi konse. Madzi osasinthidwa amaloledwa asanachitike.
• Kwa masiku awiri, momwe mungaperekere magazi, muyenera kutsatira zakudya zopanda mafuta (kupatula zakudya zamafuta).
• Madzulo a mayeso, pewani zakumwa zoledzeretsa.
• Ma 2 - 3 omwe atsala musanachite njirayi musasute.
• Zotsatira za phunziroli ndi pafupifupi zodziyimira pakusintha kwa mahomoni ogonana, kotero atsikana amatha kuyezetsa magazi ngakhale atakhala kuti ali ndi msambo.

Pofuna kudziwa kuchuluka kwa kapangidwe kake ndi kapangidwe kake, mapangidwe amwazi wa venous amachitika pamimba yopanda kanthu. Masiku angapo izi zisanachitike, tikulimbikitsidwa kupatula kugwiritsa ntchito mankhwala omwe amachititsa shuga wamagazi (glucocorticosteroids, njira zakulera, Cardio-beta blockers).

Zambiri zolondola pakugwiritsa ntchito shuga ndi momwe maselo a gland amatha kupezeka ndikudutsa mayeso a insulin ndi katundu. Magazi amatengedwa kawiri, nthawi yoyamba kuchuluka kwa insulin ya m'magazi kutsimikizika pamimba yopanda kanthu. Kenako patatha maola awiri mutamwa njira yotsekemera (kuyesa kwa glucose).

Momwe kuchuluka kwa kusanthula kupitilira muyeso

Kupitilira muyeso nthawi zina kumachitika pokhudzana ndi mawonekedwe a moyo. Zizindikiro zamphamvu zamphamvu zimayenderana ndi kusintha kwa tiziwalo ta m'mapapo. Zomwe zimapangitsa kuchuluka kwa mahomoni mu kafukufukuyu:

• Kuchita zolimbitsa thupi kwambiri - kugwira ntchito mwachangu, masewera olimbitsa thupi. Mukamachita masewera olimbitsa thupi komanso pambuyo pake, kufunika kwa glucose kumakwera kwambiri - insulin yowonjezereka ndiyachilendo.
• Kulekerera kwapansi pamalingaliro - zokumana nazo, kupsinjika kwa malingaliro.
• Matenda a chiwindi, ma hepatoses osiyanasiyana omwe amaphatikizidwa ndi hyperinsulinemia.
• Kuwonongeka kwa minofu-mitsempha (minofu atrophy, kusokonezeka kwa mitsempha yodutsitsa).
• Neoplasms mu kapamba.
• Matenda a Endocrine.
• Kuphwanya kapangidwe ka mahomoni a pituitary (kukula kwa mahomoni).
• Matenda a chithokomiro - hyperthyroidism.
• Kusintha kwa kapangidwe ka minofu ya kapamba.
• Mapangidwe a cysts mu thumba losunga mazira mwa akazi.

Kuchuluka kwa mahomoni kumalepheretsa kuchepa kwa minofu ya adipose. Zimalepheretsa kupanga mphamvu pogwiritsa ntchito mafuta ochokera kumitengo yosungidwa. Kuchulukana kwa ma insulin kumayendetsedwa ndi kuwonongeka mkati wamanjenje - kutopa, kusowa chidwi, kunjenjemera miyendo, ndi njala.

Ziwerengero zili pansipa

Choyamba, ntchito yopanda pancreatic imayendera limodzi ndi kuwonjezeka kwa shuga wamagazi ndipo ndi boma la prediabetes. Nchiyani chikuwonetsa?

• Type 1 shuga mellitus, momwe insulin yaying'ono imapangidwira.
• Moyo wongokhala pomwe minofu ndi minyewa yachepetsedwa. Kudya kwambiri maswiti - makeke, mowa, maswiti.
• Kutulutsa pafupipafupi shuga kapamba, ufa.
• Emotional mantha mavuto.
• Nthawi ya matenda opatsirana.

Hormone yotsika magazi iyi imalumikizidwa ndi matenda a shuga. Koma osati nthawi zonse.

Kuphatikiza ndi zizindikiro zina za kusanthula

Kuti muzindikire matenda ashuga komanso matenda ena omwe amayamba chifukwa cha kulephera kwa mahomoni, ndikofunikira kuganizira kuchuluka kwa insulini kumbuyo kwa mayeso ena (makamaka glucose). Kunyengerera:

1. Matenda a shuga a Mtundu 1 amasankha insulin + shuga yayikulu (ngakhale mutakhala ndi mayeso).
2. Matenda a 2 a mtundu wa shuga amapezeka shuga a shuga atapumira. (kapena digiri yoyamba ya kunenepa kwambiri).
3. Chotupa cha pancreatic - insulin yayikulu + shuga yochepa (pafupifupi nthawi 2 poyerekeza ndi zabwinobwino).
4. Mlingo wa kapangidwe ka pancreatic mwachindunji zimatengera ntchito ya chithokomiro ndipo imawonetsa kupatuka.

Mayeso a Insulin Resistance

Mlozera wotsutsa wa insulini umawonetsa momwe maselo amakhudzidwira ndi mahomoni, atatha kukondoweza kapena kuyambitsa kwake mwa njira zozizwitsa. Zolondola, pambuyo pa madzi otsekemera, kuphatikiza kwake kumayenera kuchepa, kutsatira mayamwidwe a shuga.

Momwe mungayesere kuyesa kwa insulin? Chiwerengerochi chimadziwika kuti ndi chizolowezi cha IR 3 - 28 mkU m'mawa pamimba yopanda kanthu. Ngati mutatha kudya chizindikiro chake chikadali chokhazikika, insulin kukana imadziwika (harbinger wa shuga).

Choyamba, magazi a venous amatengedwa pamimba yopanda kanthu. Zizindikiro zazikulu pakuyerekeza ndi glucose, insulin, C-peptide. Kenako wodwalayo amapatsidwa katundu - kapu yokhala ndi shuga. Pambuyo pa maola 2, zizindikiritso zomwe zimayang'aniridwa. Kusanthula kumawonetsa kusokonezeka kwa metabolic - mayamwidwe amafuta, mapuloteni.