Insulin ndi mowa

Matenda a ziwalo zamkati amayika ziletso zazikulu pakumwa zakumwa zoledzeretsa.

Matenda a shuga - Chimodzi mwa zitsanzo zosangalatsa kwambiri zoletsa izi.

Tsatirani kwambiri zakudya musanadye zakudya zopatsa mphamvu zambiri, wodwalayo ndikofunikira. Mavuto a metabolism mu shuga amabweretsa kunenepa kwambiri, ndipo zopatsa mphamvu, zomwe zimakhala ndi mowa wambiri, zimathandizira ndikuwonjezera zovuta pa thupi.

Ngati dokotala amupatsa insulini ngati mankhwala oyenera, ndiye kuti chiopsezo kwa munthu amene amamwa mowa kwambiri chimakulitsidwa.

Odwala omwe ali ndi matenda ashuga amakhala m'malo abwinobwino, chifukwa chake ndikofunikira kumvetsetsa izi kapena zomwe zingachitike mnyumba. Kodi chingachitike ndi chiyani ngati mumamwa mowa mosemphana ndi upangiri wa zamankhwala ndikugwiritsa ntchito mankhwala osokoneza bongo? Ndipo kodi pali milandu pomwe imaloledwa kukweza galasi?

Mowa ndi mankhwala osokoneza bongo

Endocrinologists ndi akatswiri othandizira amaletsa odwala awo kuti amwe mowa kuti asawonongeke mwadzidzidzi pamikhalidwe yawo. Mchitidwe wa mowa ndiwakuti umachepetsa shuga m'magazi, koma insulini singasinthidwe nawo.

Zakumwa zokhala ndi zakumwa zoledzeretsa siziyenera kugwiritsidwa ntchito pachifukwa ichi, ndi chiopsezo chachikulu ku moyo wa odwala matenda ashuga.

Ndi matenda a shuga, nthawi zambiri pamakhala zovuta zamitsempha. Ikhoza kukhala micangiopathies (kuwonongeka kwa ziwiya zazing'ono kwambiri) kapena atherosulinosis yoopsa yodziwonetsa.

Pamaso kuwonongeka kwa ziwiya za retina, mitsempha ya magazi a impso, mtima kapena ubongo, mowa umapangidwa pakokha, ndipo kuphatikiza ndi mankhwala ambiri a m'magazi kungayambitse mavuto osaneneka.

Kuphatikiza koipa: mowa - mankhwala

Anthu omwe akugwira ntchito akhama ali pachiwopsezo chachikulu, omwe, m'malo momalandira chithandizo chokwanira, amasunga zida zothandizira kukhala ndi "matenda onse" ndikutenga wina popanda wina kusintha moyo wawo.

Mankhwala osokoneza bongo amatha kutsatiridwa ndi kumwa kwamankhwala ochepa - "vodilation", "chimfine", kapena kungoti “wathanzi”. Choyipa chachikulu ndichoti izi zikachitika osati kunyumba, koma mwachitsanzo, paulendo waku bizinesi kapena patchuthi.

Osati odwala okha, komanso abale awo ayenera kudziwa kuphatikiza koopsa kwa mowa ndi mankhwala osokoneza bongo. Aliyense ayenera kukumbukira izi kuti ateteze munthu yemwe walephera kudziletsa kuti asaphedwe.

Kuphatikiza koopsa kwa mankhwala. Mowa Wambiri:

Asipirin - kukula kwa pachimake gastritis, kumapangitsa zilonda zam'mimba, kuchuluka kwa matenda am'mimba,
Mankhwala okhala ndi caffeine, theophedrine, ephedrine, komanso mankhwala ozizira kapena ozizira - amachititsa mavuto obwera chifukwa cha matenda oopsa,
kumwa okodzetsa ndi mankhwala a antihypertensive - kwambiri komanso modabwitsa kuchepetsa magazi. Izi siziyenera kuloledwa kukhala ndi anthu athanzi labwino, ndipo ndizowopsa kwa odwala matenda ashuga,
paracetamol (nthawi zambiri amagwiritsidwa ntchito pochiza hangover) - imadzala ndi chiwindi chosasinthika,
insulini - shuga wambiri amatsika m'magazi, kukula kwa chikomaso kumatha,
antipsychotic, analgesics, anti-kutupa mankhwala - thupi limakhala ndi zakumwa zoopsa zomwe zili ndi zovuta, zotsatira zoyipa,
mapiritsi ogona, othandizira - poizoni wamphamvu, chikomokere, kuwonongeka kwa maubongo,
nitroglycerin - kuwonjezeka ululu, matupi awo sagwirizana zimatha.

Payokha, tionanso zomwe zingachitike mutamwa mowa ndi maantibayotiki. Mphamvu yogwiritsira ntchito maantibayotiki imakhazikika pamachitidwe a tizilombo tina, nthawi zambiri mafangasi a penicillin, omwe angalepheretse kukula kwa mabakiteriya.

Maantibayotiki amapezeka kuchokera ku zinthu zamoyo kapena zinthu zomwe amapatula. Zomwe zimapangitsa kuti ma antibayotiki athetse pakhungu komanso popanda mowa ndizoyesa kwambiri kwa ziwalo zamkati, makamaka kwa chiwindi. Izi ndi zachilendo zachilendo.

Choyamba, amalepheretsa microflora, osangokhala ngati tizilombo toyambitsa matenda.

Kachiwiri, m'masiku oyamba ovomerezeka, kuchuluka kwa ma virus atafa ndikugwa, mphamvu ya "mankhwala ophatikizika" ipezeka: thupi laledzera ndi zinthu zowola, ndipo chiwindi chathu chimayesa kuchotsa zoyipa za magazi pazotheka.

Chiwindi chilibe nthawi yowongolera madontho a shuga nthawi ino! Ndipo ndi mlandu pakalipano kuwonjezera mowa, womwe umawonjezera kuledzera.

Komabe, izi zimachitika. Kuphatikiza kwa mowa ndi kuzungulira kwa zinthu za metabolic m'magazi kungayambitse kukulira kwa chitetezo chokwanira cha maantibayotiki komanso zovuta zomwe zimayambitsa thupi, osati kokha ku mankhwala omwe adamwa.

Nthawi zambiri, wodwalayo amakhala ndi mseru, kusanza, kusokonezeka kwa mtima ndi zina mwa zizindikiro za poyizoni: kupweteka mutu, chizungulire, thukuta, kutentha thupi, kugona.

Ndikosavuta kutsimikiza kusiya kumwa ngati zikondwererozo zawonongeka chifukwa chamasungidwe ochulukirapo. Kuthana ndi vuto lomwa mowa mwauchidakwa nthawi zina kumakhala kovuta kuposa kusamalira wodwala matenda ashuga. Zowonadi, zimadalira kulimbikira kwa zofuna za wodwala iye mwini.

Malamulo omwera mowa

Mikhalidwe yomwe mowa umaletsedwa mwachindunji:

mimba
matenda a shuga
kapamba pamtundu uliwonse
chiwindi ndi chiwindi matenda a chiwindi,
Kulephera kwa aimpso, matenda a shuga,
gout. Matendawa amadziwika ndi matenda operewera a purine metabolism, omwe amakhala ambiri mwa zakumwa zoledzeretsa. Zovuta zakumwa zowawa kwambiri zimatha kubwerezedwanso kumwa mitundu ikuluikulu ya zakumwa zoledzeretsa, osanenapo zakumwa zotsika mtengo komanso zosapatsa chidwi zakumwa zoledzeretsa,
mtundu 2 shuga. Ili ndi matenda omwe amadzimira pawokha a insulin omwe amapezeka mwa achikulire onenepa. Zizolowezi za chakudya - zotsekemera, zonunkhira, mafuta, zopatsa mphamvu zambiri zimapanga njira zofunikira zowonjezera kuchuluka kwa shuga, ndikuwonjezera kalori muzakudya zonsezi zimachulukitsa,
chithandizo cha metformin. Mankhwalawa amalembera mankhwalawa matenda a shuga komanso a mtima. Ndi kusayang'anira bwino momwe alili, wodwalayo amatha kukhala ndi vuto la metabolic, lotchedwa lactate acidosis, ndipo pakamwa mowa m'thupi, zinthu zimakulirakulira nthawi zina.

Kumwa insulin mosalamulirika kumakhala kowopsa! Ngati matenda opatsirana a shuga amapezeka, kusiyanasiyana ndikotheka.

Pambuyo pofunsa ndi dokotala, malinga ndi malamulo apaderawa, mutha kumwa zakumwa zoledzeretsa:

ngati mowa watengedwa mkati, yang'anani kuchuluka kwa shuga. Insulin imagwiritsidwa ntchito pazinthu zazing'ono,
kudya kumafunika. Ndizowopsa kumwa mowa musanadye, chakudya chake chiyenera kukhala m'mimba ndipo kudya kwake kuyenera kukhala koyenera,
palibe lokoma. Ngati nkosatheka kukana, onetsani makina owuma,
ngati ndi mowa. Mitundu yamdima ndi yamphamvu sikulinso kwa inu, mphamvu yovomerezeka yotsika ili pansi pa 5%,
choletsa mizimu. Vodka, ramu ndi cognac ndizambiri zakumwa zoledzeretsa komanso zomanga thupi, izi zimawonjezera zovuta zonse zovuta,
osakana kwa viniga wokoma ndi koloko. Ma calories omwe sayenera kukhala mu zakudya za odwala matenda ashuga! Osachita popanda champagne ndi zakumwa. Makamaka chidwi ndi omwe amapezeka pakumwa zoledzeretsa, ichi ndi chizolowezi chawo,
kupanikizika ndizoletsedwa kuti muchepetse mowa ku matenda ashuga. Kwambiri zolimbitsa thupi, yopuma yayitali pakati chakudya, mantha kuchuluka - contraindication kumwa. Thupi liyenera kuyamba kuchira,
kuwonanso shuga. Tisanakagone titamwa mowa wochepa, timayang'ana shuga,
osamwe mowa ngati hypoglycemic. Sizingatheke!

Lamulo lina loti munthu apulumutsidwe wodwala matenda ashuga: nthawi zonse mumakhala ndi glucometer, ndipo khadi ndi uthenga woti munthu ali ndi matendawa. Izi zikuthandizira munthawi yake kupereka chithandizo chokwanira, popeza zomwe zimayambitsa matenda a shuga ndizofanana ndi kuwonetsa kuledzera.

Kuchuluka kwa Mowa

Choyamba, tiyeni tibwereze: ndizothandiza kwambiri kuti muchotse mowa.

Tsiku lomwe simungathe kumwa zoposa 50 ml ya mowa wamphamvu, kapena 150 ml ya vinyo wowuma, kapena 350 ml ya mowa wowala. Izi sizitanthauza kuti kulandila ndi kotheka tsiku ndi tsiku! Zolemba malire kamodzi mpaka kawiri pa sabata.

Zopatsa mphamvu zomwe ziyenera kuganiziridwanso mukamayang'anira zakudya: 7 kcal imapezeka mu 1 g mowa, 9 kcal mu 1 g yamafuta, 4 kcal imakhala ndi gramu iliyonse ya mapuloteni ndi chakudya. Chifukwa chake kuchuluka kwa zakudya zomwe mungadye mukamamwa ngakhale pang'ono, gawo loledzera liyenera kukhala lopanda pafupifupi kotala, kapena m'malo mwake mutha kuwerengera nokha.

Koma phwando likakokedwa ndikuwamwetulira bwino, ndipo nawonso pali ngozi kwa wodwalayo. Sikuti ndikukula kwamafuta okha, komanso kuchuluka ochulukirapo pa kapamba ndi chiwindi. Chifukwa chake, malingaliro a mowa pa endocrinologists ndi osamala, ngakhale atakhala kuti akufuna, koma ndibwino kuti musamwe.

Mukapitirira muyeso wololedwa, ndiye kuti, pafupifupi theka la ola, kuchuluka kwa shuga m'magazi kumawonjezeka, koma patatha maola atatu mpaka asanu, kutsika kowopsa kumachitika. Chodabwitsachi chomwe madokotala amatulutsa chimatchedwa kuti chidakwa cha hypoglycemia.

Zimakhala zowopsa kwambiri ngati izi zikuchitika m'maloto, ndipo zitachitika izi, munthu "wotopa" nthawi zambiri amagona. Kuphatikiza apo, kugona kumakulitsa kuledzera. Kusintha kwa kugona komwe ena sangakuone.

Kuledzera kwa matenda ashuga kumakhala kowopsa kwambiri kotero kuti nthawi zambiri ndibwino kusaika thanzi lanu pangozi.

Zomwe zimayambitsa matenda a shuga

Anthu ndi nyama zina zimagwira ntchito molakwika pakupanga insulin. Maselo a Beta omwe amapanga insulin yachilengedwe amafa m'mapapo. Choyamba, timadzi timene timapangidwa m'magulu ang'onoang'ono, prediabetes imachitika. Koma pambuyo pake, kupanga insulin kumatha konse. Glucose amasiya kusungidwa ndipo mwaulere mitundu yambiri imalowa m'magazi.

Matendawa amatchedwa matenda a shuga. Matendawa ndi oopsa, amafunikira kudziletsa, choletsa china chake muzakudya osati zokha. Siyanitsani:

Mtundu woyamba wa shuga mukayamba kupanga insulin.
Type 2 shuga mellitus, pamene insulin imapangidwa, koma samakwaniritsa ntchito yake yotembenuza glucose kukhala glycogen.
Matenda a shuga amaphatikizana ndi kusowa kwa glucose m'thupi. Mtundu uwu wa matenda ashuga ndiwowonekera kwambiri kwa okonda mowa.

Mitundu iwiri yoyamba ya matendawa imayenderana ndi kugwiritsa ntchito mankhwala ochepetsa shuga a Lulinusi.

Kodi insulin ndi chiyani

Insulin ndi timadzi tomwe timapangidwa ndi zisumbu za Langerans mu kapamba. Ichi ndi chinthu chomwe chili ndi zovuta kupanga ma cell:

Amamanga shuga owonjezera m'thupi ndi kuwasandutsa glycogen, womwe umayikidwa m'chiwindi ndi minofu.
amalimbikitsa kuyamwa kwa shuga ndi maselo.

Ndipo pomwe kapamba amatha kutulutsa timadzi tambiri, timagulu tina ta glucose timasungidwa m'thupi.

Kodi oyeretsa otsuka amawayika anthu omwe ali ndi matenda ashuga?

Inde, komabe, kusankha kwa mankhwalawa, nthawi yayitali ya chithandizo ndi kufunsa kwake ndikutsimikiza ndi dokotala.

Insulin ndi mowa sizigwirizana. Anthu omwe akukumana ndi mavuto ndi mahomoni apancreatic amakakamizidwa kuti azitsatira zakudya zovuta pamoyo wawo wonse, kuwongolera shuga, magazi, kusiya zizolowezi zina, ndikupumula zina zambiri. Ndizosangalatsa kuti ecology ndi nkhawa zimakhudza kuchuluka kwa kupanga kwa insulin mthupi. Nthawi zambiri, anthu okhala megacities amadwala matenda a shuga. Mowa umangokulitsa chiwonongeko cha chiwalo chowonongeka kale, chomwe chimakulitsa chithunzithunzi cha matenda. Chifukwa chake, anthu omwe amadalira insulin ayenera kupewa kumwa zakumwa zoledzeretsa.

Kwa matenda aliwonse, kumwa zakumwa sizikulimbikitsidwa, ndipo nthawi zambiri zimaletsedwa. Ndikofunikira kwambiri kuganizira izi ndi matenda monga matenda a shuga. Pankhaniyi, chakudya chokhwima chimafunikira, zinthu zambiri siziyenera kuphatikizidwa. Izi ndichifukwa choti shuga imakhala ndi vuto la kunenepa kwambiri, ndipo mowa, kuwonjezera pa zovuta zake zina, umapezekanso kwambiri, motero umakhala chifukwa chokhazikika kwamapaundi. Chithandizo chachikulu ndi insulin, ndipo sichiphatikiza ndi mowa.

Ndiye kodi ndingamwe mowa ndi mankhwala a shuga?

Kumwa mowa mwauchidakwa kumadzetsa mavuto:

chiopsezo cha glycemic
lactic acidosis,
discrimira-like,
ketoacidosis.

Zotsatira zoyipa zoledzeretsa zokha, komanso kugwiritsa ntchito insulin, zimatha kuyipa kwambiri komanso lakuthwa konsekonse. Mowa pawokha umakhala ndi vuto la hypoglycemic, ndiye kuti, amachepetsa shuga, koma izi sizitanthauza kuti amatha kulowetsa insulin. Palibe chifukwa muyenera kugwiritsa ntchito zakumwa zoledzeretsa kuti musinthe mkhalidwe wanu. Awa ndi malingaliro abodza, munthu sangathe kudzitsimikizira yekha mwanjira yake. Osamamwa mowa ngakhale pali zovuta ndi ziwiya zotsutsana ndi maziko a matenda ashuga, mwachitsanzo, wodwalayo ali ndi atherosulinosis, zotupa zosiyanasiyana zamatumbo am'mimba, ndi mavuto ena.

Kuphatikiza kwa insulin ndi mowa kumakhala kowopsa, koma pokhapokha kulandira kotereku sikulamulidwa.

Kugwiritsa ntchito moyenera odwala omwe ali ndi shuga sikubweretsa mavuto, koma izi siziyenera kuvulazidwa.

Pa nthawi yoyembekezera, neuropathy, kapamba, ndikofunikira kusiya msanga ngakhale pang'ono, chifukwa amatha kuipiraipira vutoli.

Masiku ano, madokotala akhazikitsa malamulo apadera omwe amalola wodwalayo kumwa zakumwa zoledzeretsa, osawopa kuti mwina zinthu zingakuyendereni bwino, komabe ndibwino kufunsa dokotala za iwo. Malamulowa ndi monga:

Aliyense amene ali ndi matenda ashuga ayenera kukhala ndi chida cham'manja chofuna kudziwa kuchuluka kwa shuga, magazi ochepa omwe akuwonetsa kuti munthuyo ali ndi matenda ashuga. Izi ndizofunikira kuti ena asatengere wodwala ngati waledzera. Ngati chithandizo chachipatala sichiperekedwa nthawi, munthu akhoza kufa.

Mu shuga, sikulimbikitsidwa kumwa mowa, chifukwa siziphatikizana bwino ndi insulin ndi mankhwala ena, ndikupangitsa zotsatira zosayembekezereka komanso zoyipa. Komabe, mowa wina umaloledwa, ngakhale osowa. Izi ndi zakumwa zotere:

mowa wamphamvu mu 50-75 ml. Izi zikuphatikizapo whiskey, cognac, vodka,
vinyo wouma - mpaka 200 ml.

Zakumwa zina zonse zakumwa ndizoletsedwa. Champagne, zakumwa, vinyo wotsekemera ndi mowa siziyenera kugwiritsidwa ntchito ngati munthu ali ndi matenda ashuga, chifukwa zimachulukitsa kwambiri zomwe zili ndi shuga ndikuyambitsa kulemera.

Mukamamwa, muyenera kukumbukira kuti zakumwa zonse zimakhala ndi zopatsa mphamvu:

gram ya mowa ili ndi 7 kcal,
gramu yamafuta - 9 kcal,
gramu ya mapuloteni ndi chakudya - 4 kcal.

Pogwiritsa ntchito izi, mutha kuwerengera mosavuta kuchuluka kwa mankhwalawa, ngakhale ndibwino kusiya mowa kwathunthu. Ndi kumwa pafupipafupi mowa, chiopsezo cha kunenepa kwambiri chimakulirakulira, popeza kuti zopatsa mphamvu zambiri za calorie ndi mankhwala zimangokulitsa phindu.Pambuyo pakumwa, munthu amayamba kudya zambiri, makamaka zamafuta, okazinga, zakudya zazonunkhira - zonsezi zimapangitsanso kulemera.

Kumwa mowa wa shuga sikulimbikitsidwa, makamaka kwa odwala omwe amakonda kunenepa kwambiri. Kwa ena onse, ndalama zochepa ndizovomerezeka. Ndi zoletsedwa kumwa zakumwa monga zakumwa zoledzeretsa, zakumwa zotsekemera, champagne, zakumwa zoledzeretsa zilizonse komanso zakumwa zozizilitsa kukhosi. Zonsezi zimayambitsa kuwonjezeka kwa shuga m'magazi, ndiye kuti, zimayambitsa kuwonongeka kwakukulu mumkhalidwewo.

Mulimonsemo, tisaiwale kuti mowa ndi matenda ashuga sizigwirizana, kudya kosayenera kumatsogolera kusintha kwakukulu mu shuga. Zotsatira zake, hypoglycemia imayamba. Chithandizo: Palibe chifukwa muyenera kumwa mowa ngati njira yochepetsera shuga. Chifukwa chake mutha kungopanga kuwonongeka ndi chikomokere. Kumwa mowa kwa masiku 24, pamakhala chiwopsezo chachikulu cha kukhala ndi hypoglycemia. Izi zikutanthauza kuti mukatha kumwa zakumwa zotere, muyenera kuonetsetsa nthawi yomweyo kuchuluka kwa shuga pogwiritsa ntchito zida (zomwe odwala matenda ashuga nthawi zambiri amakhala nazo).

Odwala ena samalabadira zotsutsana ndi zoletsedwa za madotolo, amapitiliza kumwa mankhwalawa, ndikuwaphatikiza ndi zoledzeretsa. Ngati simungathe kusiyiratu kumwa, ndiye kuti pakufunika kuchepetsa kwambiri, muyenera kudziwa kuchuluka kwake. Koma pali zophatikiza zomwe mowa umapha, i.e. simungathe kumwa ndi mankhwala mwachindunji.

Ndikofunikira kupeweratu kuphatikiza kowopsa motere:

mowa ndi aspirin zimayambitsa zilonda zam'mimba, zimayambitsa matenda omwe alipo,
mowa ndi tiyi kapena khofi, theophedrine, ephedrine, ozizira, ozizira amabweretsa vuto lalikulu kwambiri,
zakumwa zoledzeretsa ndi antihypertensive, okodzetsa amathandizira kuchepa kowopsa komanso kowopsa kwa kuthamanga kwa magazi, kosavomerezeka ngakhale kwa munthu wathanzi, osatchula wodwala wodwala matenda a shuga.
mowa ndi paracetamol (kuphatikiza kotchuka kwa uchidakwa) - kuwonongeka kwa chiwindi kosasinthika,
mowa ndi insulini - chikomokere, dontho lakuthwa kwambiri la shuga,
mowa ndi ma antipsychotic, odana ndi zotupa, kuledzera - kuledzera kwambiri, komwe kumavuta kudutsa, kumatha kubweretsa zotsatira zosatsimikizika kwambiri,
mowa ndi mapiritsi ogona, osakhazikika mtima -
mowa ndi maantibayotiki, gulu la sulfonamides - kusowa kwa njira zochizira, kupitilira kuvomerezeka kwa mankhwala aliwonse,
mowa ndi nitroglycerin - thupi lawo siligwirizana, kuwonjezeka ululu.

Kusankha ngati angatenge insulin mu shuga mellitus, kuiphatikiza ndi zakumwa zoledzeretsa, ndi nkhani ya wodwala aliyense, madokotala angalimbikitse kuti asachite izi. Koma ziyenera kukumbukiridwa kuti mowa umasokoneza munthu wathanzi, ndipo kwa wodwala kuphatikiza kumeneku kumatha kukhala koopsa, ngakhale ngati palibe chomwe chimachitika kuchokera ku magalasi 1-2. Mowa umakhala ndi mphamvu kwa nthawi yayitali, umachotsedwa nthawi yayitali, pang'onopang'ono umayambitsa ziwalo zonse zamkati. Popita nthawi, izi zimadzetsa kuwonongeka kwakukuru mu thanzi, ngakhale mowa osamwa kwakanthawi.

Insulin ndi mowa zimayambitsa mayeso osakanikirana kumalo azachipatala. Madokotala ambiri amakhulupirira kuti mowa umapangidwa mwa odwala omwe ali ndi matenda ashuga. Mowa umasokoneza dongosolo la glucose metabolism mu chiwindi, amachepetsa kupanga wanga, chifukwa chake sangaphatikizidwe ndikugwiritsira ntchito insulin, mankhwala akuluakulu omwe amawongolera kuchuluka kwa shuga m'magazi. Ochepa, M'malo mwake, amakhulupirira kuti mowa ndi insulin zitha kukhala zogwirizana, koma pokhapokha pakuwonetsetsa kuti pakhale kumwa pang'ono.

Matenda a pancreatic kunja kwa thupi amapezeka m'njira zosiyanasiyana:

Kuchokera kapamba wa nkhumba ndi ng'ombe.
Njira zosinthidwa.
Synthetically.

Masiku ano, m'zochita zachipatala, 95% amawerengera ma insulin, omwe adasamutsa mankhwala osokoneza nyama ndi mankhwala osokoneza bongo. Mulibe zodetsa zilizonse, sizimayambitsa ziwengo, ndizosavuta kupanga, chifukwa chake zimakhala ndi mtengo wotsika.

Kuphatikiza kwa mowa ndi insulin kuyenera kuganiziridwa pazigawo ziwiri. Nthawi zambiri, komanso pamaso pa matenda omwe amakhudza kagayidwe kazakudya mthupi (chiwindi, kapamba), kaphatikizidwe ka mahomoni m'thupi la munthu nthawi zambiri kamachitika ndi maselo apadera a Langerhans.

Mwa chibadwa chake, insulin ndi puloteni yomwe singalowe mthupi kudzera m'matumbo, chifukwa imakopedwa ndi iyo. Chikondamoyo ndicho chiwalo chokhacho chomwe chingapatse minofu yonse ya anthu ndi insulin, ndikupanga magazi.

Nthawi zambiri, timadzi timene timapangidwa timayambira pang'ono, kapangidwe kake kamachulukanso ndikuwonjezereka kwa magazi, ndikuchepa ndikuchepa kwake. Chakudya chilichonse chimayambitsa kusintha kwa kuchuluka kwa shuga, zimakhudza kugwira ntchito kwa kapamba.

Mowa ukamwetsa munthu wathanzi umawonedwa ngati chakudya chokhazikika. Zikondwerero, monga mwachizolowezi, zimawonjezera kaphatikizidwe ka insulin poyankha kuchuluka kwa shuga m'magazi. Kuchita kwa ethanol ndi mahomoni kumachitika pachiwindi.

Insulin imayendetsa kagayidwe kazakudya, chifukwa chake, imakhudzana mwachindunji ndi chiwindi. Hormone:

Imayendetsa makina a enzyme.
Imalimbikitsa kaphatikizidwe kakang'ono ka protein.
Imachepetsa kuchepa kwamafuta, imalimbitsa mafuta m'thupi.
Amaphwanya glucose m'magulu osavuta omwe amalowetsedwa momasuka m'magazi ndikupanga maselo opatsa thanzi.
Amatenga nawo gawo ponyamula ma amino acid ndi potaziyamu kumankhwala ndi ziwalo.

Mowa nawonso umasintha mu chiwindi, pomwe:

Sizimagwirizana, kupangitsa kuti shuga aziphatika ndi hepatocytes, kukakamiza gawo lina lamaselo a chiwindi kuti lizitenga nawo gawo.
Ndi shuga m'mapangidwe ake, nthawi yomweyo imalimbikitsa kupanga insulin ndi kapamba.
Mofananamo, poizoni yemwe amapezeka pakukokedwa kwake, umalepheretsa ntchito ya kapamba.

Chifukwa chake insulin ndi mowa zimalumikizana, zimayambitsa kusayenerana pakugwira ntchito kwa chiwindi ndi kapamba.

Chifukwa chake, m'thupi la munthu wathanzi, Insulin ikakumana ndi mowa, mayendedwe oyipa amayamba: gland imagwira mwachangu kutulutsa insulini poyankha kuchuluka kwa glucose kuchokera kunja, ndipo mowa sukulola shugayu kupitilira malire a chiwindi ndikulowa m'magazi. Chifukwa chake, Mowa umathandizira insulin, yomwe singalandire kuchuluka kwa chakudya chamagalimoto kuti isasokoneze, imangiriza chilichonse chomwe chimayenda m'magazi kale.

Mwazi wamagazi umachepetsedwa. Pali hypoglycemia, yomwe mchitidwewu umawonetsedwa ndi kumverera kwanjala, kufuna kumwa. Gawo latsopano la mowa limakulitsa vutolo. Ngati munthu amadalira insulin (matenda a shuga), ndiye kuti kuchuluka kwa hypoglycemia kumatheka nthawi zambiri. Mpaka kukomoka. Poganizira zoyipa zakuphatikiza kwa mowa ndi insulin, sikulimbikitsidwa kuphatikiza mankhwalawa ndi ethanol.

Yang'anani! Ziwerengero zamankhwala zimati kuphedwa ndi kuphatikiza kwa insulin ndi ethanol zolembedwa mu 30% mwa milandu.

Komabe, ngati zonsezi sizingalephereke, muyenera kudziwa zoyambira zomwe zingachitike:

Migraine
Kukwera kwa mtima.
Kuchepa kwakanthawi kochepa.
Thukuta, kuzizira.
Zizindikiro za kuledzera.
Kugwedezeka manja ndi miyendo, mphwayi, kufuna kugona.
Kulephera kufotokoza mawu.

Kufunika kwa insulin kumachitika chifukwa cha endocrine pathology - matenda ashuga. Pankhaniyi, ndikofunikira kumvetsetsa kuti ngati mowa umadalira, mowa uliwonse umalowa m'thupi, momwe chiwindi chimakhudzidwa kale, sichitha kugwira ntchito zake mokwanira. Zotsatira zake ndizolepheretsa kupanga glycogen. Chifukwa chake, mowa wowonjezereka ulowa m'matumbo am'mimba, kumakhala kwakukulu kuperewera kwa chakudya cham'magazi.

Milingo yoopsa ya shuga imatha kupezeka nthawi yoyenera kwambiri komanso yosayembekezereka, yomwe pakakhala popanda thandizo lapadera imabweretsa kufa. Chifukwa chake, osokoneza bongo a ethanol amaletsedwa kumwa pamimba yopanda kanthu, pambuyo pa zolemera zolimbitsa thupi, kumwa mopitirira muyeso, pamene kuchuluka kwa glycogen kuli kale pamlingo wochepera. Ngati wodwala amakhudzidwanso ndi kapamba, ndiye kuti zotsatirapo zake zingakhale zosayembekezereka ndi mlingo wocheperako wa vodika kapena mowa.

Matenda a shuga samasiyana pakati pa amuna ndi akazi, koma kumwa mowa mwa azimayi kumakhala ndi zotsatirapo zoopsa kwambiri. Mowa waukulu kwambiri womwe umaloledwa kwa akazi ndi 100 g ofiira owira, botolo la mowa wopepuka patsiku. Okonda zakumwa zoledzeretsa - 25 g mowa. Muyenera kudziwa za izi, chifukwa matenda a shuga amatha kuyambitsa insulin.

Chenjezo Kwa odwala matenda ashuga amtundu uliwonse, mavinyo onse ndi ma cocktails omwe ali ndi shuga saloledwa.

Endocrinologists, pozindikira kuti matenda a endocrine system amayenda ndi odwala pafupifupi moyo wawo wonse, akukhulupirira kuti pamavuto omwe ndizovuta kukana kumwa, mutha kulola kuti atenge molingana ndi malamulo okhwima:

Osamamwa pamimba yopanda kanthu. Bwino kumwa kapu yomwera mukatha kudya.
Pankhaniyi, mlingo wa mankhwala ochepetsa shuga umachepetsedwa ndi theka, kuti musabweretse vutoli.
Mutatha kumwa Mowa, muyenera kuwongolera shuga wamagazi, kubwereza njirayo musanayambe kugona kuti musinthe shuga, ndikuchita zoyenera.

Kuti chitetezo cha kagayidwe kazikhala mokwanira mthupi, ndikofunikira kusintha chiwindi ndi kapamba:

Muyenera kudya zakudya zamagulu (thanzi la zakudya za atherogenic zoletsa mafuta ndi mchere, komanso shuga wosavuta).
Menyani mapaundi owonjezera.
Nthawi zonse muziyang'anira kuchuluka kwa shuga.
Onani momwe mankhwalawa amachepetsa shuga (mlingo, pafupipafupi ndi nthawi).

Ngati pali mowa wambiri (kuchuluka kwa kuchuluka komwe kumaloledwa), ngakhale pakalibe zizindikiro, pofuna kupewa kutsika kwamphamvu m'magazi, thupi liyenera kumasulidwa ku zinthu zowola za ethanol:

Muzimutsuka m'mimba (3 malita a madzi oyera kudzera mkamwa ndi rectum motsatana).
Tengani adsorbents (zozikika pa kaboni yoyambitsa).
Ngati ndi kotheka, funsani dokotala.

Zofunika! Kudya kophatikizana kwa insulin ndi mowa, choyambirira, kumakhala ndi zotsatira zoyipa zamagetsi zamkati, kumayambitsa kukwiya kapena kukhumudwa, zomwe zimakhala zovuta kuyankha kuchizolowezi.

Chifukwa chake, ndibwino kusaphatikiza mowa ndi insulin. Izi ndizodzala ndimavuto enieni. Popanda kugwiritsa ntchito mankhwala okumba, zakumwa zoledzeretsa sizikulimbikitsidwa. Choyamba, izi zimagwira ntchito kwa anthu omwe ali ndi matenda osachiritsika (matenda ashuga, hepatitis, uchidakwa). Kuwonongeka kwa kagayidwe kachakudya njira, kuchepa kwa magwiridwe antchito a ziwalo ndi minofu mothandizidwa ndi matenda oledzera, zimayambitsa kupotoza kwa kagayidwe kachakudya, zomwe zimapangitsa kuti pakhale kukana mankhwala, zovuta:

Pancreatitis
Zilonda.
Kusinthasintha kwa mtima.
Ischemia ndi chitukuko cha matenda amtima.
Cachexia.

Koma ngati pali zochitika zina pamene muyenera kumamwa galasi (ukwati, chikondwerero, Chaka Chatsopano), muyenera kuyang'ana nyimbo zomwe zidalephera kusinthitsa kwambiri miyezo ya shuga wamagazi (vodka, cognac, vinyo wouma), kuchepetsa malire awo:

Kumwa voliyumu: 50-70ml.
Musanamwe mowa, muyenera kudya zolimba.
Nthawi zonse yang'anirani kuchuluka kwa shuga, sinthani kusinthasintha ngati pakufunika.

Pokhapokha titha kuyembekezera kuti kumwa zakumwa zoledzeretsa kudzachitika popanda kumwa mopitirira muyeso.

Yang'anani! Kudzipangira nokha, ndiye kuti, kusintha kwa malamulo oti mutenge insulin kapena kuphatikiza kwake ndi mowa ndikosavomerezeka.

Mtengo wa cholesterol. Matenda a shuga Chipilala - M: AST, Astrel, Kututa, 2007 .-- 986 c.
Rosen V.B. Zofunika za Endocrinology. Moscow, Moscow State University Publishing House, 1994.384 mas.
Akhmanov M. Matenda a shuga muukalamba. St. Petersburg, yosindikiza nyumba "Nevsky Prospekt", 2000-2002, masamba 179, kufalitsidwa konsekonse kwa makope 77,000.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Zochita za mowa pa kapamba

Mowa, kulowa m'magazi, umatsogolera maselo ofiira kuti asunthe ndikutseka m'mitsempha yamagazi yomwe imadyetsa kapamba. Wopatsidwa zakudya ndi mpweya, maselo amasintha pang'onopang'ono ndi kufa.

Kumbali inayi, mowa umakometsa khoma lamatumbo chifukwa cha sphincter, ndiye kuti, dzenje lomwe limatseketsa ma ducts limapanikizika, ndipo madzi a pancreatic (pancreatic), omwe amakhala ndi ntchito yambiri ya m'mimba, salowa m'mimba. Amayamba kuwononga minofu ya kapamba payokha. Amasinthidwa ndi minofu yolumikizira, yomwe singakwaniritse ntchito yake yayikulu. Zotsatira zake, njira yogaya chakudya imasweka, kugawidwa kwa chakudya kukhala zigawo zina.

Pamene minyewa ya minyewa ikukhudza mchira wamanzere wa England, komwe kuli ma Langerans, maselo a beta omwe amapanga insulin amafa. Chifukwa chake mowa, wotengedwa ndi pafupipafupi, umawononga kapamba ndipo umakhala chimodzi mwazomwe zimayambitsa matenda monga kapamba ndi matenda ashuga. Mothandizidwa ndi mowa, kupanga insulin kumachepetsa.

Mowa mthupi la odwala matenda ashuga

Anthu odwala matenda ashuga nawonso ndi anthu, ndipo ngati munthu, wokhala wathanzi, sanakane yekha chisangalalo chotenga kapu kapena awiri kuti akhale ndi thanzi la okondedwa, ndiye kuti ataphunzira za matenda, si aliyense amene angakane chisangalalo cha kumwa mowa. Komabe, munthu amatengera zochita za anthu ena. Chifukwa chake pano munthu wakonzedwa kuti asamwe yekha. Wina wapafupi akana, akuwonetsa okanawo ndikunyoza kuti akunyoza mnzake (timu). Ndipo mowa ukamayendera limodzi ndi bizinesi, kulephera kungakhudze. Zimakhala zovuta nthawi zina kutsutsa anthu. Nthawi zina wodwala amakakamizidwa kumwa, kuti asakhale "nkhosa yakuda".

Kumwa moledzera kumasokoneza kwambiri kagayidwe (kagayidwe) ka chakudya, mafuta ndi mapuloteni, kagayidwe kazinthu kamadzi, kumayambitsa acidosis, ndikuwonjezera magwiridwe antchito a ziwalo zonse ndi machitidwe amthupi. Izi zimachitika ngakhale mwa anthu athanzi.

Matenda a shuga ndi uchidakwa

Ngati wodwala yemwe ali ndi matenda ashuga ndi munthu wamba, akumamwa nthawi ndi nthawi kapena patchuthi chachikulu, amatha kudziwongolera mkhalidwe wake ndikusankha moyenera ngati angamwe mowa kapena ayi, ndipo ngati ndi choncho, kuchuluka kwake. Ndipo ngati wodwala matenda ashuga amadwala? Itha kuganiziridwa kuti hypoglycemic coma mwa anthu otere imachitika kale kuposa wodwalayo, kapena achibale amatha kudziwa bwino matenda a shuga ndikupita kuchipatala.

Kumwa pafupipafupi mowa kumatha kubweretsa kukulitsa kwa atherosulinosis ndi matenda a mtima, chifukwa chidakwa chimachulukitsa kuchuluka kwa cholesterol, triglycerides ndi phospholipids. Zotsatira zake, kulimbana ndi matenda a shuga kumachepa.

Kuphatikiza kwa mankhwala angapo kumbuyo kwa mowa kumatha kuyambitsa zovuta.

Si woledzera aliyense yemwe ali ndi matenda ashuga omwe anganene mumtima mwake kuti: "Imwani, sindimwanso, chifukwa moyo ndi wokwera mtengo." Psyche ya chidakwa imasiyana ndi anthu abwinobwino chifukwa amakhulupirira kuti ngati atangofuna ndipo akhoza kusiya kumwa. Koma sangathe kuthana ndi kudzinyenga kwake. Kupanga chidakwa kuti chisiye kumwa, munthu amafunikira chilimbikitso kapena mantha. Pali zochitika zina pomwe mantha a imfa adachotsa chidakwa kuchokera m'botolo.

Chifukwa chake, woledzera omwe ali ndi matenda ashuga ali ndi njira ziwiri: kusiya kusiya kukhala chidakhwa ndi kusiya kumwa kamodzi, kapena njira yopita kumanda, ndipo ndiyifupi. Izi ndizachidziwikire chifukwa chake palibe zidakwa zambiri zomwe zimadwala matenda ashuga.

Matenda a shuga ndi phwando

Kodi ndingathe kumwa matenda osokoneza bongo? Madokotala sanapeze lingaliro limodzi pa nkhaniyi, zomwe, komabe, sizodabwitsa. Anthu onse ndiosiyana ndipo thupi la munthu limachita mosiyanasiyana pazinthu zina, kuphatikizapo mowa.

Othandizira kumwa mowa ndi odwala matenda ashuga akuti:

Zinthu zambiri zamowa sizikhala ndi shuga. Ndipo omwe ali ndi zakumwa - zakumwa zoziziritsa kukhosi, zakumwa zoziziritsa kukhosi, zakumwa zina zoledzeretsa, zotsekemera ndi theka-lokoma, odwala matenda ashuga ndiwololera kupereka mano okoma omwe alibe vuto lotere.
Mowa umapangidwa chifukwa cha kupsinjika kwa glucose. Kodi zingakhale zovulaza?

Ndipo pomaliza, mkangano wotsiriza, womwe umasungidwa maswiti - chakumwa chomwa mowa umachepetsa shuga la magazi.

Tiyenera kukumbukira kuti kuphatikiza kumeneku kungasandutsidwe kovuta kwambiri, ngati simukutsatira malamulo ena.

Momwe mowa umachepetsa shuga

Amadziwika kuti zakudya zam'magazi m'thupi pakati pa chakudya zimathandizidwa ndi glycogenolysis ndi gluconeogeneis. Kodi njira izi ndi ziti?

Glycogenolysis - kuwonongeka kwa glycogen ndi kumasulidwa kwa shuga m'chiwindi ndi minofu. Ndondomeko imeneyi imasunga shuga wachilengedwe mthupi kuti munthu achite zinthu zina. Gluconeogenesis ndi njira ya metabolic yomwe imatsogolera pakupanga shuga kuchokera ku pyruvic acid. Kuphatikizana pakati pa wina ndi mnzake, njira zonsezi zimasungitsa kuchuluka kwa shuga pamlingo woyenera ngakhale munthu akakakamizidwa kuti afe ndi njala.

Mowa wolandidwa mu chiwindi umalepheretsa izi, zomwe zimayambitsa hypoglycemia. Kwenikweni, ichi ndi chimodzi mwazifukwa zomwe munthu yemwe amapita tsiku latha samadzimva bwino m'mawa. Chochititsa china chathanzi lantchito yocheperako. Thupi silibwera ku malo oterowo mutangomwa mowa, koma pambuyo pa maola ochepa. Uku ndiye ngozi. Pambuyo pakumwa, wodwala matenda ashuga amatha kubaya insulini ndipo zotsatira zake, shuga amayamba kugwa mosavuta. Ngozi ina ndikuti mukamamwa anthu nthawi zambiri amagona ngakhale masana. Shuga amatsika patatha maola ochepa pomwe wodwala agona. Popanda kudzuka, wodwala matenda ashuga amatha kudwala matenda okomoka komanso kufa.

Ngati munthu wathanzi ayenera kutenga kuchokera ku magalamu 300 a mowa wamphamvu kapena wowonjezera chifukwa chodwaladwala, ndiye kuti wodwala matenda ashuga amafunika magalamu 120-150 kuti achepetse kwambiri shuga.

Pakadali pano, ndizovuta kuwerengera kuchuluka kwa kuchepetsedwa kwa shuga m'magazi. Zimatengera kuchuluka kwa mankhwala a insulin ndi shuga omwe amachepetsa, kuchuluka kwa mafuta omwe amadyedwa posachedwa kumwa.

Momwe mungapewere hypoglycemia

Malangizo oyenera phwando lisanachitike:

Hafu ya ola izi zisanachitike, idyani mkate ndi batala kapena kapu imodzi ya kirimu wowawasa. Mafuta ndi kirimu wowawasa amachepetsa kuyamwa kwa magazi m'magazi. Mkate umathandizira kuchepetsa hypoglycemia.
Osamamwa zakumwa zochokera kaboni. Amakhala ndi shuga wambiri, koma koposa zonse, koloko imathandizira kuyamwa kwa mowa.
Chofunikira ndi 50 magalamu a mowa wofanana. Izi zikutanthauza kuti simungathe kumwa zosaposa 100 magalamu a vodka (cognac), magalamu 200 a vinyo wouma kapena magalamu 250 a mowa. Tiyenera kukumbukira kuti simungathe kumwa zakumwa zonsezi nthawi imodzi komanso waukulu. Zisoni zochokera ku zakumwa zoledzeretsa zosiyanasiyana zimagwetsa ngakhale munthu wamphamvu komanso wamphamvu. Mutha kudzilola nokha chinthu chimodzi: vodika, kapena vinyo, kapena mowa.

Komabe, izi sizitanthauza kuti odwala matenda ashuga amaloledwa kumwa mowa. Ili ndi chenjezo kwa iwo omwe akuganiza: pamene simungathe, koma mukufunadi, ndiye kuti mutha.

Kugwirizana kwa mowa ndi antipyretic mankhwala

Kodi zakumwa zimagwirizana ndi insulin? Mowa wokhala ndi mphamvu yake ya hypoglycemic umathandizira kuti pakhale insulin, yomwe ingayambitse hypoglycemia. Kuchepa uku kumawonekera kwambiri komanso koopsa pama insulini osakhalitsa monga Lantus. Zopangira insulin Lantus ndi ma insulin ofanana nawo kwa nthawi yayitali ndi osavuta chifukwa amatha kutumikiridwa kamodzi patsiku.

Ngati mutabayidwa insulin Lantus, ndiye kuti ndi bwino kuti wodwalayo athetse mowa kwathunthu, chifukwa kuwonjezera pa zotsatira za hypoglycemic, mavuto omwe amadza chifukwa chogwirizana ndi mankhwala a mankhwala ndi mowa amatha.

Pamodzi ndi mahomoni achilengedwe komanso opanga, mankhwala ochepetsa shuga apangidwa:

Sulfonylureas (Diabetes, Amaril, Glyurenorm) amachepetsa kupanga shuga mu chiwindi, kuwonjezera chiwopsezo cha minofu ya insulin.
Biguanides (Glucofage, Metfogamma, Metformin-Acre, Siofor) amalepheretsa gluconeogeneis ndipo amathandizira kuloza shuga kwa maselo amisempha. Kukonzekera komwe kumakhala ndi metformin kumathandizira magazi a fibrinolytic.

Mankhwala ochepetsa shuga ndi othandiza kwa matenda ashuga amtundu wa 2, ngati muli ndi insulin yanu m'thupi. Kuphatikiza apo, mowa umathandizira kuchepetsa kutsika kwa shuga kwa mankhwala ambiri, omwe amatsogolera ku hypoglycemic coma, kulumikizana kwa mowa wa ethyl ndi mankhwala omwe amapezeka mu mankhwalawa, komanso kuyanjana koopsa ndi mankhwala.

Mwachitsanzo, kulumikizana kwa mankhwala okhala ndi metformin (biguanides) ndi ethyl mowa kumatha kubweretsa ketoacidosis, mkhalidwe womwe acidity ya magazi imachuluka. Lactic acidosis imakula mwachangu. Vutoli limakhala lalikulu, lodzala ndi chikomokere ndi kufa, chifukwa chake, mukamapatsidwa mankhwala ndi Biguanides, kumwa mowa basi sikutha.

Ndiosafunika kuphatikiza insulin ndi mowa, komanso mankhwala okhala ndi chlorpropamide. Izi zitha kuyambitsa vuto. Mphamvu ya antabuse ndi poizoni wakuthupi yemwe amapezeka akamamwa mankhwala angapo a mowa. Vutoli limachitika chifukwa machitidwe a aldehyde dehydrogenase, michere yomwe imakhudzana ndi zakumwa zochokera m'thupi, zimayamba kuchepa, zimapangitsa kuchuluka kwa acetaldehyde. Mkhalidwe wofanana ndi wotsutsa umadziwika ndi:

Kugwirana chanza mwamphamvu.
Osatinso kukakamizidwa komwe kumayambitsa mtima kumabweretsa.
Kukhumudwa kwambiri, kuopa kufa.
Mania kuzunzidwa, kuyerekezera zinthu zina ndi mawonekedwe ena owonetsa schizophrenia.
Matenda Am'mimba.
Kuphwanya mgwirizano.

Kuyamwa kwa mowa ndi Biguanides kumatha kubweretsanso vuto.

Zambiri izi zokhudzana ndi mavuto omwe amabwera chifukwa chomwa mowa ndi matenda osokoneza bongo panthawi yogwiritsa ntchito insulin ndi mankhwala ena ndizotheka. Ndipo kumwa kapena kukana mowa ndi chisankho cha munthu aliyense.