Mankhwala osokoneza bongo omwe ali ndi insulin

Insulin ndi mahomoni a protein omwe amawongolera kapamba. Katunduyu ndi amene amachititsa kuti kagayidwe kazachilengedwe kagayidwe. Chifukwa cha phula ili, glucose amamwa, omwe amandipatsa mphamvu.

Ngati muyezo wa mankhwalawo udapitilira, chiwopsezo cha zotsatira zowopsa zimawonekera. Matendawa amawopseza chikumbumtima cha hypoglycemic (kuchepa kwambiri kwa shuga m'magazi), komwe kumatha kutha.

Kodi mankhwala osokoneza bongo angapatsidwe bwanji kwa odwala matenda ashuga?

Nthawi zambiri, kukonzekera kwa insulin kumagwiritsidwa ntchito pa matenda ashuga. Komabe, mankhwalawa amagwiritsidwanso ntchito pamasewera (zomanga thupi).

Ngati munthu akudwala matenda a shuga omwe amadalira insulin, ma pancreatic β-cell satulutsa chinthuchi. Pazifukwa izi, wodwala amayenera kupereka insulin nthawi zonse kuchokera kunja. Kukonzekera koteroko kumakhala ndi cholowa m'malo mwa ma hormone. Ndi chithandizo chawo, othandizira othandizira odwala matenda amtundu wa 1 amachitidwa. Pambuyo pa jekeseni, kuchuluka kwa shuga m'magazi kumachepa, ndipo mkhalidwe wa wodwalayo ukupita bwino.

Izi zimaganizira kuchuluka kwa shuga m'thupi. Kuti mankhwalawa asayambitse vuto, wodwalayo ayenera kuyang'ananso matendawo pafupipafupi.

Madokotala amatchula zifukwa zingapo zomwe zimapangitsa kuti munthu akhale ndi insulin yambiri:

Dokotala amapereka kukonzekera kwa insulin kwa munthu wathanzi,
Endocrinologist kapena wodwala wasankha molakwika mlingo wa insulin,
Nthawi zina odwala amapitilira muyeso wamankhwala mukasinthira mtundu wina wamankhwala kapena kugwiritsa ntchito syringe yina.
Wodwalayo sapaka insulin pansi pa khungu, koma m'matumbo,
Kuchita masewera olimbitsa thupi kwambiri ndikusowa kwamafuta pambuyo pa jakisoni,
Munthu wodwala matenda ashuga amalakwitsa atamwa insulini yofulumira komanso pang'onopang'ono,
Wodwalayo amalumpha kudya atayamwa mankhwala okhala ndi insulin.

Kuphatikiza apo, insulin ikutuluka imakwera mpaka milungu 13 ya gestation, yovuta kulephera kugwira ntchito kwaimpso, steatosis (mafuta a chiwindi).

Anthu odwala matenda ashuga saloledwa kumwa mowa, koma ngati wodwalayo adaganizirabe kuti atenge mwayi, ndiye kuti akuyenera kutsatira malamulo otsatirawa:

Musanamwe mowa, mankhwalawa amachepetsa,
Musanamwe ndikumwa zakumwa zoledzeretsa, muyenera kudya chakudya, chomwe ndi gwero la chakudya pang'onopang'ono,
Zakumwa zoledzeretsa zochepa zimalimbikitsidwa.
Ngati wodwalayo amamwa mowa wamphamvu, ndiye kuti tsiku lotsatira muyenera kuyeza kuchuluka kwa shuga m'magazi ndikusintha mlingo, molingana ndi izi.

Kutengera ndi malamulowa, wodwala matenda ashuga amatha kupewa insulin yambiri.

Zizindikiro za mankhwala osokoneza bongo a insulin

Kuchulukitsa kuchuluka kwa mankhwala okhala ndi insulin kumapangitsa kuchepa kwambiri kwa shuga m'thupi. Hypoglycemia imachitika pamene kuchuluka kwa shuga pamakutu kumakhala kosakwana 5 mmol / l magazi. Mukamagwiritsa ntchito mitundu yosiyanasiyana ya mankhwalawa, kuchuluka kwa zizindikiro zake ndizosiyana. Ngati wodwala amapereka insulin yofulumira, ndiye kuti matendawa amawonekera mofulumira kuposa pambuyo poti atulutsira mankhwala omwe atulutsidwa kale.

Mankhwala osokoneza bongo a insulin mthupi amasonyezedwa ndi zizindikiro zotsatirazi:

Kumayambiriro kwake, wodwalayo amadwalanso patapita mphindi zochepa atalandira mankhwala. Ndipo pali kufooka kwa thupi, kukhumudwa pamtima, kupweteka kwa mutu, kuwonjezeka kwamphamvu kwa chikhumbo,
Gawo loyamba la bongo, madokotala amalimbikitsa kudya kapena kumwa chinthu chokoma. Ngati wodwalayo sanachite kanthu, ndiye kuti mkhalidwe wake ukupitilirabe.Ndipo pali kubisala kwambiri kwa thukuta, malovu, kunjenjemera kwa malekezero akumwamba (kunjenjemera), kufooka kumapitilirabe kukula. Zosokoneza zowonekera zimawonekera, ana amayamba kuchepa. Pakadali pano, hypoglycemia ikhoza kupewedwa, chifukwa izi wodwala ayenera kudya zakudya zomwe zimakhala ndi chakudya chamagulu (confectionery kapena shuga),
Mu gawo lachitatu, wodwalayo akupitiliza kuwonjezera kufooka, ndipo sangathenso kuchitapo kanthu. Wodwala sangathe kuyima payokha, thukuta kwambiri limawonedwa, tachycardia, kunjenjemera, komanso kuchita mantha kwambiri kumakulirakulira. Kuphatikiza apo, kusokonezeka kwa malingaliro kumawonekera. Munthawi imeneyi, ndikofunikira kuyambitsa shuga m'mitsempha, apo ayi pamakhala chiopsezo cha kuperewera kwa hypoglycemic,
Kuchuluka kwambiri kwa hypoglycemia kumawonetsedwa ndikuchepa kwambiri kwa ndende ya glucose (oposa 5 mmol / l). Wodwala amatembenuka, kugunda kwa mtima kumachepa, m'mimba mwake samasintha kutengera mphamvu yakuwala.

Ngati palibe kuyesa kuthetsa zizindikiro za insulin yochulukirapo, imfa imachitika. Zotsatira zoyipa ndizotheka kulepheretsa ntchito zonse (kupuma, magazi, kusowa kwa zinthu zina).

Choyamba thandizo la insulin

Odwala ambiri ali ndi chidwi ndi momwe angapewerere hypoglycemic coma ndi kufa atapereka insulin yambiri.

Malinga ndi madotolo, wozunzidwayo ayenera kupatsidwa thandizo mwadzidzidzi patangodutsa mphindi zochepa atawonetsedwa ndi zizindikiro zapadera.

Wodwalayo amatha kudzipulumutsa payekha kuti asakhale ndi vuto la hypoglycemic, chifukwa ndikofunikira kutsatira malamulo otsatirawa:

Kumayambiriro kwa mankhwala osokoneza bongo omwe ali ndi insulin, 100 g ya mikate yoyera iyenera kudyedwa. Izi zimathandizira kuti shuga azikhala mokwanira m'thupi,
Ngati pambuyo mphindi 5 zizindikirazo sizitha, ndiye kuti tikulimbikitsidwa kugwiritsa ntchito zakudya zomwe zimakhala ndi mafuta otsekemera (maswiti, kupanikizana kapena supuni ziwiri za shuga),
Ngati zizindikiro zikupitilira pambuyo pa mphindi 5, chakudya chamaguluchangu chiyenera kugwiritsidwanso ntchito.

Ndi chiwonetsero chachikulu kwambiri cha hypoglycemia (kukomoka, kupsinjika), wodwalayo amapaka jekeseni wa shuga m'mitsempha. Kubwezeretsa shuga panthawi yovuta kwambiri ya mankhwala osokoneza bongo, wodwalayo amapaka jekeseni wa shuga (40%) voliyumu pafupifupi 50 ml. Ngati wozunzidwayo sanayambenso kuzindikiridwa patatha mphindi 10 jekeseni, ndiye kuti njirayi imabwerezedwa.

Zotsatira za kuchuluka kwa insulin

Mavuto pambuyo makonzedwe owonjezera insulin zimatengera kuopsa kwa zomwe. Hypoflycemia yofatsa imapezeka mwa anthu onse odwala matenda ashuga.

Kenako choopsa chachikulu ndi insulin yochulukirapo, yomwe imayamba mwa odwala omwe sangathe kuwongolera matendawa. Zotsatira zake, mankhwalawa amachitika molakwika, momwe odwala matenda ashuga samakhalira bwino, chiwopsezo cha ketoacidosis (mkhalidwe wowopsa womwe umawopseza ketoacidotic chikomokere ndi imfa) umachuluka.

Ngakhale kuchuluka kwambiri kwa insulin m'magazi kumabweretsa zotsatirapo izi:

Meningitis
Bongo edema
Mavuto Amisala,
Stroko
Matenda a mtima
Kutuluka magazi.

Malinga ndi madokotala, kuthekera kwakukulu kwa hypoglycemia wodwala okalamba komanso odwala matenda ashuga omwe ali ndi matenda amtima.

Panthawi yovuta kwambiri ya mankhwala osokoneza bongo, pamakhala chiopsezo cha kukomoka kwa hypoglycemic. Potere, ndikofunikira kupereka chithandizo chadzidzidzi kwa omwe akhudzidwa, chifukwa mwayi wa kulephera kwa mtima ukuwonjezeka.

Hypoglycemic mantha imayamba kuchuluka kwa glucose akatsikira mpaka 5 mmol / L pansi pazonse.

Ngati wodwalayo sanakhale ndi nthawi yovutira njira ya shuga m'mitsempha, ndiye kuti kumwalira. Ichi ndichifukwa choletsa ntchito za ziwalo zopumira komanso magazi.

Matenda a Insulin Overdose Syndrome

Mlingo wa insulin wowonjezera umawopseza bongo.Vutoli limatsatiridwa ndikupanga mahomoni (adrenaline, corticosteroids, glucagon), omwe amalepheretsa kuchepa kwa kuchuluka kwa shuga m'magazi.

Somoji syndrome (overdose aakulu) imawonetsedwa ndi zizindikiro zotsatirazi:

Matenda a shuga ndi akulu
Ikulitsa kudya,
Kunenepa kwambiri, kuchuluka kwa shuga mumkodzo kumawonjezeka,
Konzedweratu ku ketoacidosis,
Mkulu wakwezedwa mkodzo
Kusintha kwadzidzidzi mu kuchuluka kwa shuga tsiku lonse,
Monga lamulo, kuchuluka kwa glucose kumawonekera,
Hypoglycemia nthawi zambiri imayamba (kangapo mu maola 24).

Nthawi zambiri msuzi wa shuga umatsikira m'mawa (kuyambira maola 5 mpaka 7), izi zimachitika chifukwa cha kuchuluka kwa mahomoni opikisana (adrenaline, glucagon wa cortisone, kukula kwa timadzi). Hypoglycemia imachitikanso chifukwa chofooka cha mankhwalawa a mankhwalawa a mankhwalawa a insulin.

Hypoglycemic coma imayamba kuchoka pa 2 mpaka maola 4, ndiye kuti kuchuluka kwa shuga kumachepa mpaka 4 mmol / L kapena kutsikira. Kenako mawonekedwe obwezerera m'thupi amaonekera. Zotsatira zake, m'mawa wodwala matenda ashuga amawona matenda a hyperglycemia, omwe amayamba chifukwa cha mankhwala osokoneza bongo a mankhwalawa.

Mlingo wowopsa wa insulin kwa munthu wathanzi komanso wodwala matenda ashuga

Lingaliro lofuna kudziwa mlingo woyenera wa insulin limapangidwa ndi endocrinologist potengera kuchuluka kwa shuga m'magazi.

Mlingo wowopsa kwa wodwala aliyense ndiwosiyana. Ena odwala matenda ashuga ali ndi vuto lochepa kwambiri pambuyo poyendetsa 300 mpaka 500, pomwe ena amakhala ndi vuto la hypoglycemic kale pa 100 mayunitsi. Kuyankha kwa thupi ku insulin kumadalira zinthu zambiri, koma chofunikira kwambiri ndi kulemera kwa thupi.

Mwachitsanzo, kulemera kwa munthu ndi 60 makilogalamu, ndiye kuti mlingo woyenera ndi magawo 60. Ndipo gawo la mankhwala omwe ali ndi insulini mu 100 PIECES likuwopseza imfa. Mlingo woyenera wa insulin kwa odwala matenda ashuga 90 makilogalamu 90.

Mankhwala osokoneza bongo ndi owopsa kwa odwala komanso athanzi. Nthawi yomweyo, osati zizindikilo ndi kuwonongeka konsekako, komanso zotsatira za kukomoka kwa hypoglycemic, ndizakufa.

Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi?

Mlingo wotetezeka wa insulin yokonzekera munthu wathanzi kuyambira 2 mpaka 4 IU. Ndipo othamanga amapaka jekeseni wa 20 IU ya chinthu patsiku kuti achulukitse minofu.

Odwala achikulire omwe ali ndi matenda a shuga amatha kugwiritsa ntchito 20 mpaka 50 IU.

Nthawi zina madokotala amalakwitsa zinthu zina ndikupereka mankhwala kwa munthu wathanzi. Kenako yankho lake limakhala ndi zovulaza m'thupi, poizoni.

Monga lamulo, ndi kuledzera, zizindikiro zotsatirazi zimawonekera:

Kukanika kwa mtima,
Matenda oopsa
Mutu
Mantha
Coordination matenda,
Kuwonjezeka kwamphamvu kwa chikhumbo,
Kufooka kwathunthu kwa thupi.

Kutengera ndi zomwe tafotokozazi, mankhwala osokoneza bongo ambiri omwe ali ndi insulin ndi oopsa kwambiri omwe amawopseza ndi zotsatira zoyipa mpaka kufa. Hypoglycemia yofatsa imatha kupewedwa ndi zakudya zomwe zimakhala ndi chakudya chambiri, komanso chovuta ndi yankho la shuga. Popewa mankhwala osokoneza bongo, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi, ndikutsatira malangizo a endocrinologist.

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Kugwira kwa insulin m'magazi

Insulin imagwira ntchito pakusunga mphamvu komanso kusintha kwa glucose obwera kukhala minyewa ya adipose, ndikuchita ntchito ya conduction shuga ikakalowa m'maselo a thupi. Insulin ndi chinthu chomwe chimakhudzidwa ndikupanga amino acid ndi kugwiritsa ntchito kwawo.

Pali insulin m'thupi la munthu malinga ndi kuchuluka kwake, koma kusintha kwa kuchuluka kwake kumayambitsa zovuta zingapo za metabolic, zomwe zimakhala zowopsa.

Insulin ili ndi zotsatirapo zabwino komanso zabwino m'thupi la munthu.

kusintha kwa kapangidwe ka mapuloteni,
kuteteza kapangidwe ka maselo a mapuloteni,
kuteteza amino acid mu minofu minofu, yomwe imawonjezera kukula kwawo,
kutenga nawo gawo kapangidwe ka glycogens, zomwe zimathandizira kuti shuga isungike m'misempha.

Anthu amazindikiranso zinthu zoyipa zomwe zimachitika mthupi ngati muli ndi insulin yambiri m'magazi:

zimathandiza kuteteza mafuta,
Amapangitsa kuti pakhale zotsekemera za ma cell zolandilira,
bwino mafuta acid synthesis,
kumawonjezera kuthamanga kwa magazi
amachepetsa kutanuka kwa makoma amitsempha yamagazi,
zimathandizira kuti pakhale maselo owononga chotupa.

Mu nthawi yokhazikika ya seramu yamagazi, insulin imakhala kuchokera 3 mpaka 28 mcU / ml.

Kuti phunziroli likhale lothandiza, magazi ayenera kumwedwa kokha pamimba yopanda kanthu.

Zizindikiro za mankhwala a insulin

Kwa munthu wathanzi, mlingo wabwino wa thupilo ndi 2-4 IU mu maola 24. Ngati tikulankhula za omanga thupi, ndiye 20 IU iyi. Kwa anthu odwala matenda a shuga, chizolowezi chake ndi 20-25 IU patsiku. Ngati dokotalayo ayamba kuledzera pamankhwala ake, ndiye kuti kuchuluka kwa mahomoniwo kumawonjezera bongo.

Zomwe zimayambitsa hypoglycemia ndi izi:

kusankha kolakwika kwa mankhwala,
kusintha mtundu wa syringes ndi mankhwala,
masewera osapatsa mafuta
kudya moyenera komanso nthawi yomweyo insulin,
kuphwanya zakudya pambuyo jekeseni (kunalibe chakudya atangochita),

Munthu aliyense amene amadalira insulin, kamodzi kamodzi m'moyo wake, anali kumva zosasangalatsa zomwe zimayambitsidwa ndi mankhwala osokoneza bongo ambiri. Zizindikiro zazikulu za bongo za insulin:

kufooka kwa minofu
ludzu
thukuta lozizira
miyendo yanjenjemera
chisokonezo,
kuchuluka kwa thambo ndi lilime.

Zizindikiro zonsezi ndi chizindikiro cha hypoglycemic syndrome, chomwe chimakwiya chifukwa cha kuchepa msanga kwa magazi m'thupi. Yankho lofananalo ku funso la zomwe zimachitika ngati mutabaya insulin mwa munthu wathanzi.

Matendawa amayenera kuyimitsidwa msanga, apo ayi wodwalayo amagwa, ndipo zimakhala zovuta kwambiri kuti atuluke.

Matenda a insulin ochuluka

Kugwiritsa ntchito kwambiri mankhwala osokoneza bongo, omwe amatha kutsagana ndi matenda a shuga, nthawi zambiri kumabweretsa chifukwa cha matenda a Somoji. Mkhalidwe uwu umadziwika ndi kupanga corticosteroids, adrenaline ndi glucagon pamitundu yambiri.

Somoji syndrome ndi insulin overdose syndrome, ndiko kuti, mkhalidwe wovuta womwe umabweretsa zotsatira zosasintha ndipo umafunikira chisamaliro chapadera.

Zizindikiro zazikulu za hypoglycemia:

kulakalaka
matenda oopsa
kuchuluka kwa acetone mu mkodzo,
kuthamanga kwambiri, zomwe zimachitika chifukwa cha kuchuluka kwa shuga mumkodzo,
malingaliro amunthu pa ketoacidosis,
shuga amayamba kuchuluka tsiku lililonse,
hypoglycemia zoposa nthawi 1 patsiku,
Kulembetsa pafupipafupi kwa shuga wambiri.

Nthawi zambiri, poizoni wa insulin amakhala munthawi yayitali kwa nthawi yayitali. Koma izi nthawi zonse zimadzimva zokha. Somoji syndrome imasiyanitsidwanso ndikuti kukula kwa mkhalidwe wa hypoglycemic mwa munthu kumawonedwa pa 2-4 a.m. Ndi chifukwa cha bongo wa insulin yamadzulo.

Kuti achepetse momwe zinthu zilili, thupi liyenera kuyambitsa njira zowonjezera mphamvu. Koma, popanda kuthandizidwa mwadongosolo komanso mosasinthasintha, kufooka kwazinthu zamphamvu za thupi kumatha kuonedwa. Chifukwa chake, Somoji syndrome imatha kupha.

Insulin kwambiri mwa munthu wathanzi

Dokotala akapita kutali kwambiri ndi insulin, odwala matenda ashuga amawonetsa zina pakapita kanthawi. Ngati mukulowetsa insulin mwa munthu wathanzi, imayambitsa mawonekedwe owopsa a poizoni.

Zikakhala zotere, jakisoni wa insulin amakhala ngati poyizoni, amachepetsa msanga kuchuluka kwa shuga m'magazi.

Ngati munthu waledzera, zikuwoneka:

arrhasmia,
kukakamizidwa
migraines
nkhanza
mgwirizano wolakwika
kumva mantha akulu
njala
ambiri ofooka.

Ngati insulin ikulowetsedwa mwa munthu wathanzi, chithandizo chinanso chikuyenera kuyang'aniridwa ndi madokotala okha. Anthu nthawi zina amafa chifukwa cha mankhwala osokoneza bongo otere.

Mlingo wowopsa wambiri wa insulin ndi magawo zana, i.e. syringe yonse ya insulin. Nthawi zina munthu amatha kupulumuka ngati mlingo woterowo umakhala wokwera maulendo 30. Chifukwa chake, ndi mankhwala osokoneza bongo, mutha kukhala ndi nthawi yoyimbira dokotala musanakomoke.

Monga lamulo, chikomokere chimakula mkati mwa maola 3-4 ndipo zomwe zimayimira zitha kuyimitsidwa ngati shuga alowa m'magazi.

Zotsatira ndi mawonekedwe othandizira

Pochiza matenda a shuga, pamakhala chiopsezo cha mankhwala osokoneza bongo ambiri. Munjira imeneyi, pofuna kupewa imfa, thandizo loyenerera lofunikira likufunika. Ndikofunikira kudziwa zoyenera kuchita nthawi yomweyo ndi mankhwala osokoneza bongo ambiri.

Kuti muwonjezere chakudya chamagulu ochulukirapo, muyenera kudya chofufumitsa cha mkate wa tirigu mpaka g 100. Mukapitiliza kuukira kwa mphindi 3-5 muyenera kuwonjezera shuga. Madokotala amalimbikitsa kumwa tiyi ndi supuni zochepa za shuga.

Ngati chochitikacho chitachitika, kuchuluka kwa insulini m'magazi sikumakhala kotakasuka, mukufunikirabe kudya ma protein munthawi yomweyo. Ngakhale kuti bongo wambiri ndi chinthu wamba, ngati inu kunyalanyaza zofunika kuchita, kuwonjezeka kwa Somoji syndrome kumachitika.

Kukula kwa matendawa kumasokoneza kwambiri mankhwalawa komanso kumadzetsa ketoacidosis yovuta kwambiri.

Pankhaniyi, mungafunike kusintha mankhwalawo ndikuyamba kumwa mankhwala amphamvu.

matenda edema,
Zizindikiro za meningitis,
kutha msanga kwa matenda a dementia ndimavuto amisala.

Pakati pa anthu omwe ali ndi vuto la mtima, kuchuluka kwa insulini kungayambitse:

sitiroko
vuto la mtima
retinal hemorrhage.

Mankhwala osokoneza bongo a insulini ndi omwe amafunika kuyankhidwa mwachangu kuchokera kwa wodwala. Ngati ndi kotheka, muyenera kuyitanitsa gulu la ambulansi. Ngakhale kuti hypoglycemia sikuti nthawi zonse imabweretsa imfa, chikhalidwe chowopsa sichitha kuchepetsedwa.

Ngati wodwala ali ndi vuto, ndiye kuti muyenera kuletsa kudzera jakisoni kapena podya zakudya zopepuka. Zina mwazinthu zomwe mwalimbikitsa:

ma lollipops
chokoleti
mikate yoyera
zakumwa zoziziritsa kukhosi.

Malangizo popewa insulin

Kuchuluka ndi pafupipafupi kwa kayendetsedwe ka insulin kumatsimikiziridwa kokha ndi endocrinologist. Wodwala ayenera kudziwa mawonekedwe onse a jakisoni wa insulin.

Nthawi zambiri anthu omwe ali ndi matenda a shuga amadzibaya; iyi ndi njira yosavuta. Mankhwala amakono apanga ma syringes, safunikira zinthu zingapo mu syringe ndikuti alole kutsata molondola. Dinani voliyumu yomwe mukufuna pa sikelo ndikujambulira musanadye komanso mutadya, malingana ndi malangizo azachipatala.

Malamulo okonzekera insulin:

kuchuluka kwa insulin komwe kumakokedwa mu syringe,
tsamba la jakisoni limachiritsidwa ndi mowa,
pambuyo pa jekeseni, simukufunika kuchotsa singano nthawi yomweyo, ndikofunikira kudikirira masekondi 10.

M'mimba ndikuti gawo la thupi lomwe limasokonekera kwambiri pakulimbitsa thupi, motero ndikotheka kupaka insulin mosamalitsa mbali iyi ya thupi. Ngati chinthucho chingaphatikizidwe ndi minyewa ya manja kapena miyendo, zotsatira zake zimakhala zoipitsitsa.

Zambiri zokhudzana ndi insulin zimaperekedwa mu kanema munkhaniyi.

Mankhwala osokoneza bongo a insulin

Insulin ndi timadzi tambiri tomwe timafunikira kuti thupi lipezeke komanso kubereka kwa shuga. Ndi kuchepa kwake, kagayidwe kazakudya kamasamba amasokonekera ndipo shuga yemwe amalowa mthupi mwachindunji ndi chakudya amayamba kukhazikika m'magazi.

Chifukwa cha njirazi zonse, mtundu woyamba wa matenda a shuga umayamba, momwe ma jakisoni a insulin amasonyezedwera monga mankhwala obwezeretsa. Koma si aliyense amene akumvetsa kuti ndikofunikira kutsatira njira zawo zopanga ndi malingaliro a madokotala okhudzana ndi kumwa kwake.

Kupatula apo, zovuta za insulin yochulukirapo imatha kukhala yosiyana kwambiri, mpaka kufika pakufa.

Ntchito ya insulin m'thupi

Monga tafotokozera pamwambapa, insulini ndi mahomoni omwe "amachititsa" kuphwanya ndi kupopera kwa shuga. Pancreas ikuchita kupanga. Ngati maselo ake adawonongeka, njira ya insulin kaphatikizidwe ndiyosatheka kapena kusokonezedwa kwathunthu. Koma zimatenga gawo lalikulu pakugwira ntchito kwa thunthu lonse.

Pansi pa kuchitapo kwake, shuga wolowera m'magazi atatha kudya amatengedwa ndi maselo amthupi, motero kudzikwanitsa ndi mphamvu. Ndipo shuga wambiri amawayika "m'malo obisala" osungirako, omwe kale amasandulika glycogen. Izi zimachitika m'chiwindi ndikuwonetsetsa kuti mafuta a cholesterol amapezeka bwinobwino.

Ngati insulin singapangidwe mokwanira kapena kuchuluka kwake kulibe, ma metabolism amthupi amasokonezeka, zomwe zimapangitsa kuti pakhale kuchepa kwa insulin komanso kukula kwina kwa matenda a shuga.

Mlingo wa insulin umasankhidwa payekha!

Matendawa amadziwonetsa ndi shuga wowonjezereka wamagazi (hyperglycemia), kufooka, kumangokhala ndi njala, kusokonezeka kwa dongosolo lazomera, etc. Kuchulukitsa mulingo wabwinobwino wamagazi m'magazi, komanso kutsitsa (hypoglycemia) ndi vuto lowopsa lomwe lingayambitse kukomoka kwa hyperglycemic kapena hypoglycemic.

Ndipo kupewa izi, ndi zovuta kagayidwe kachakudya kagayidwe kachakudya ndi shuga yayikulu magazi, insulin mankhwala zotchulidwa.

Mlingo wa jekeseni amasankhidwa payekhapazinthu zina - thanzi lathunthu, kuchuluka kwa shuga m'magazi komanso kuchuluka kwa mapangidwe a insulin. Pankhaniyi, kudziletsa kumakhala kofunikira popanga insulin.

Wodwala amayenera kudziwa kuchuluka kwa shuga m'magazi (izi zimachitika pogwiritsa ntchito glucometer) ndipo ngati jakisoni sapereka zotsatira zabwino, funsani dokotala nthawi yomweyo.

Zofunika! Palibe zingatheke kuti muonjezere pawokha kuchuluka kwa jakisoni wa insulin! Izi zingayambitse kuchepa kwambiri kwa shuga m'magazi ndikuyamba kwa hypoglycemic coma! Kusintha kwa Mlingo kuyenera kuchitika kokha ndi dokotala!

Mankhwala osokoneza bongo a insulin amatha kuchitika kangapo - pogwiritsa ntchito jakisoni wa insulin yayitali kwambiri kapena musinagwiritsidwe ntchito molakwika.

Chowonadi ndichakuti posachedwa, mankhwalawa adayamba kugwiritsidwa ntchito mu masewera, makamaka pomanga thupi. Zowonjezera mphamvu yawo ya anabolic imakuthandizani kuti muzikhutitsa thupi ndi mphamvu ndikuthandizira njira yomanga minofu.

Ndizofunikira kudziwa kuti izi sizinatsimikizidwebe ndi asayansi, koma izi sizimayimitsa osewera.

Ndipo chinthu chomvetsa chisoni ndichakuti nthawi zambiri amadzipatsa "mankhwala" oterowo ndikupanga njira yowagwiritsira ntchito, yomwe ndi yopenga kwathunthu. Saganizira zotsatira za nthawi izi, koma atha kukhala achisoni kwambiri.

Zofunika! Mukamagwirira ntchito zamagetsi, shuga wamagazi amachepetsedwa kale. Ndipo mothandizidwa ndi insulin, imatha kugwera pansi, zomwe zingayambitse kukula kwa hypoglycemia!

Mankhwala sayenera kumwedwa konse popanda zisonyezo zapadera, koma ambiri amanyalanyaza izi.

Amakhulupirira kuti mulingo wabwino kwambiri wa insulin kwa munthu wathanzi ndi pafupifupi 2 IU.

Ochita masewera amabweretsanso ku 20 IU, chifukwa chakuti kuchuluka komweko kwa insulin kumagwiritsidwa ntchito pochiza matenda ashuga. Mwachilengedwe, zonsezi zimatha kubweretsa zovuta.

Ndipo ngati mwachidule, ziyenera kunenedwa kuti kuchuluka kwa insulin kumachitika ngati:

jakisoni amagwiritsidwa ntchito nthawi zonse ndi munthu wathanzi,
Mlingo wolakwika wa mankhwalawa adasankhidwa,
pali kuletsa kukonzekera kwa insulin imodzi ndikusinthira kwina, kwatsopano, komwe kunayamba kugwiritsidwa ntchito mokulira,
jakisoni imachitika molakwika (amaikidwa mosadukiza, osatinyoza!),
kuchita zolimbitsa thupi kwambiri ndi mafuta osakwanira ambiri,
ma insulin othamanga komanso othamanga amagwiritsidwa ntchito nthawi yomweyo kwa odwala
odwala matendawa adapereka jakisoni kenako ndikudumphira chakudya.

Mukamagwiritsa ntchito insulin, muyenera kuyang'anira shuga yanu nthawi zonse

Tiyeneranso kudziwa kuti pali zochitika zina ndi zina momwe thupi limamverera kwambiri insulin. Izi zimachitika pakakhala pakati (makamaka mu trimester yoyamba), kulephera kwa aimpso, chotupa cham'mimba, kapena chiwindi chamafuta.

Mankhwala osokoneza bongo a insulin amatha kuchitika mukamamwa mankhwalawa. Ngakhale amatsutsana ndi matenda a shuga, si onse odwala matenda ashuga omwe amatsatira izi. Chifukwa chake, madokotala amalimbikitsa kuti odwala awo, kuti apewe zotsatira za "zosangalatsa", atsatire malamulo awa:

Malamulo a insulin

musanamwe mowa, muyenera kuchepetsa kuchuluka kwa insulin,
M'pofunika kudya musanamwe mowa ndikatha kudya zomwe zimakhala ndi mafuta ochulukirapo,
zakumwa zoledzeretsa zambiri siziyenera kuledzera konse, zakumwa zochepa chabe, zomwe zilibe mowa wopitilira 10%.

Ngati mankhwala osokoneza bongo omwe ali ndi insulin, imfa imachitika motsutsana ndi maziko omwe amakumana ndi hypoglycemic chikomokere, koma osati ponse ponse. Zonse zimatengera umunthu wa thupi, mwachitsanzo, kulemera kwa wodwalayo, zakudya zake, momwe amakhalira, ndi zina zambiri.

Odwala ena sangathe kupulumuka mlingo wa 100 IU, pomwe ena amapulumuka pambuyo pa 300 IU ndi 400 IU. Chifukwa chake, ndizosatheka kunena ndendende kuchuluka kwa insulin yomwe imapha, chifukwa chiwalo chilichonse chimakhala chokhacho.

Zizindikiro Zambiri

Ndi mankhwala osokoneza bongo a insulini, kuchepa kwambiri kwa shuga m'magazi (ochepera 3.3 mmol / l) kumachitika, chifukwa chomwe hypoglycemia imayamba, yomwe imadziwika ndi zizindikiro zotsatirazi:

kufooka
mutu
kugunda kwa mtima
kumva kwamphamvu njala.

Zizindikiro zazikulu za hypoglycemia

Zizindikirozi zimapezeka mu gawo loyamba la insulin poyizoni. Ndipo ngati pakadali pano wodwala satenga mbali iliyonse, ndiye kuti pali zizindikiro zina za hypoglycemia:

kunjenjemera m'thupi
kuchuluka kwa masokono
khungu
kuchepa mphamvu kumiyendo,
ana opukusidwa
kuchepa kowoneka bwino.

Momwe ziziwonetserozi zimayambira msanga zimatengera mankhwalawa omwe adagwiritsidwa ntchito. Ngati uku ndikuchita insulin mwachangu, ndiye kuti amawonekera mwachangu, ngati insulini pang'onopang'ono - itagwiritsidwa ntchito maola ochepa.

Zoyenera kuchita

Ngati munthu ali ndi chizindikiro cha kuchuluka kwa insulin, ndikofunikira kuchitapo kanthu kuti achulukitse shuga, mwanjira ina akhoza kukhala ndi vuto la hypoglycemic, lomwe limadziwika chifukwa cha kusazindikira komanso kufa.

Kuti chiwonjezeke mwachangu shuga m'magazi, chakudya chamafuta chofunikira chofunikira. Amapezeka m'mwazi, maswiti, makeke, ndi zina zambiri. Chifukwa chake, zizindikiro za bongo zikawonekera, wodwalayo ayenera kupatsidwa kenakake kokoma, ndikuyitanitsa gulu la ambulansi. Pankhaniyi, kuyamwa kwamatenda a glucose ndikofunikira, ndipo ndi wazachipatala wokha amene angachite izi.

Ngati wodwalayo akuipiraipira, amakhala ndi thukuta, thukuta limakulirakulira, mabwalo amdima pansi pa maso, kukokana, ndi zina zotero, ndiye kuti akufunika kuchipatala mwachangu. Zizindikiro zonsezi zikuwonetsa kukula kwa chikomokere kwa hypoglycemic.

Mankhwala osokoneza bongo kwambiri a insulin angayambitse zotsatira zosiyanasiyana. Pakati pawo pali Somoji syndrome, yomwe imayambitsa kupezeka kwa ketoacidosis. Mkhalidwe uwu umadziwika ndi kuwonjezeka kwa magazi a matupi a ketone. Ndipo ngati nthawi yomweyo wodwala sapatsidwa chithandizo chamankhwala, imfa imatha kuchitika patangopita maola ochepa.

Limagwirira kukula kwa matenda ashuga ketoacidosis

Kuphatikiza apo, insulin yambiri m'magazi ingayambitse matenda amkati amanjenje, omwe amadziwonetsa:

kutupa kwaubongo,
Zizindikiro za meningeal (khosi lolimba komanso khosi, kupweteka mutu, kulephera kuwongola miyendo, ndi zina zambiri).
dementia (ndi chitukuko chake, pali kuchepa kwa ntchito zamaganizidwe, ulesi, kukumbukira kwa zinthu, ndi zina zotere).

Nthawi zambiri, kuchuluka kwa insulin kumayambitsa kusokonezeka kwa mtima wam'magazi, zomwe zimapangitsa kuti pakhale kulowerera kwa mtima ndi matenda a sitiroko. Kutuluka kwa magazi kwa retinal komanso kuchepa kwa masomphenya kumachitika mwa ena mwa otsutsana ndi maziko awa.

Pomaliza, ziyenera kudziwika kuti mukalandira chithandizo chokwanira komanso chanthawi yake ndi mankhwala osokoneza bongo ambiri, inshuwaransi imachitika padera. Ndipo kuti mupewe mavuto omwe amabwera chifukwa chogwiritsa ntchito mankhwalawa, ndikofunikira kutsatira malangizo onse a dokotala ndipo musagwiritse ntchito jakisoni wa insulin, pokhapokha ngati pali umboni wapadera wa izi.

Mankhwala osokoneza bongo a insulin - Zizindikiro, thandizo, chithandizo, zotsatira zake

Insulin ndi timadzi timene timayendetsa kagayidwe kamphamvu m'thupi la munthu ndipo amapangidwa ndi ma cell a pancreatic Langerhans. Ndi iyo, minofu imapanga glucose, chinthu chomwe chimatipatsa mphamvu mthupi.

Mtundu wa I I shuga mellitus (wodalira insulini), insulin ya pancreatic intrinsic siyipangidwe, chifukwa chake ndikofunikira kuyiyendetsa kuchokera kunja. Kukonzekera kwa insulin kumakhala ndi mahomoni opanga.

Jakisoni wawo wokhazikika ndiye msana wa kukonza makhwala a mtundu woyamba wa shuga.

Insulin imakhalanso ndi anabolic, motero imagwiritsidwanso ntchito pochizira matenda ena, imagwiritsidwanso ntchito ndi omanga thupi kuwonjezera minofu.

Kodi pamafunika insulin ingati pa mankhwala osokoneza bongo?

Kwa munthu wamkulu (i.e., wopanda matenda a shuga), mlingo wabwino wa insulin ndi magawo 2-5.

Nthawi zambiri, omanga thupi, kuyambira ndi otetezeka, pang'onopang'ono amawonjezera mlingo, amabwera ndi magawo 20.

Mu shuga mellitus, mlingo wa insulin umasankhidwa payekha ndi endocrinologist, poganizira kuchuluka kwa shuga mu seramu ya magazi ndi kukhalapo kwa shuga mkodzo. Achire achire mlingo wa shuga ali osiyanasiyana 2040 mayunitsi, mu milandu kwambiri kapena kukula kwa zovuta (hyperglycemic chikomokere), akhoza kuchuluka, ndipo kwambiri.

Zomwe zimayambitsa kuchuluka kwa insulin ndi:

Mulingo wosankhidwa bwino wa mankhwala okhala ndi insulin,
zolakwika nthawi ya jakisoni, yemwe nthawi zambiri amawonedwa mukasinthira mankhwalawa kapena kugwiritsa ntchito syringe yatsopano.
intramuscular (m'malo mwa subcutaneous) makonzedwe,
Kudumpha chakudya pambuyo pa jekeseni,
mphamvu yayikulu yolimbitsa thupi ndi osakwanira kudya pambuyo pa jakisoni.

Mikhalidwe ina imakulitsa chidwi chathupi kumanga insulin. Izi zikuphatikiza:

mafuta amchiwindi,
aakulu aimpso kulephera
trimester yoyamba ya mimba
mkhalidwe woledzera (kuphatikizapo wofatsa).

Milandu imeneyi, ngakhale kukhazikitsidwa kwa mankhwala osankhidwa ndi adokotala kungayambitse kukula kwa zizindikiro za insulin.

Kodi chithandizo chachipatala chikufunika liti?

Ngati vuto la insulin yochulukirapo, chithandizo choyamba chayamba kusintha, palibe chifukwa chachipatala chodzidzimutsa. Komabe, posachedwa, wodwalayo amayenera kukaonana ndi dokotala kuti asinthe mlingo komanso pafupipafupi pokonzekera insulin.

Mu milandu yomwe insulin yochulukirapo imakhala yovuta komanso kudya chakudya chamafuta sichimachotsa wodwala ku matenda a hypoglycemia, ndikofunikira kuyitanitsa gulu la ambulansi.

Chithandizo cha odwala omwe ali ndi mankhwala ambiri a insulin amachitika mu dipatimenti ya endocrinology. Ndi kukula kwa hypoglycemic chikomokere - kuchipinda chothandizira kwambiri komanso chisamaliro chachikulu.

M'chipatala, odwala amafunikira mwachangu kuchuluka kwa shuga m'magazi komanso magawo ena a biochemical. Chithandizo cha mankhwalawa chimayamba ndi kupaka kwamitsempha yama glucose 20-25%. Ngati ndi kotheka, glucagon imayendetsedwa intramuscularly.

Ndi chitukuko cha chikomokere, kukonza matenda opuwala kwamankhwala ofunikira kumachitika.

Zovuta zotheka

Kugwiritsa ntchito kwambiri mankhwala a insulin sikuwopseza moyo komanso thanzi, madigiri ofatsa a hypoglycemia samapezeka kawirikawiri mwa odwala onse omwe ali ndi matenda a shuga a mtundu woyamba. Komabe, ngati hypoglycemia imachitika pafupipafupi, ndiye kuti kupangika kwa mankhwala osokoneza bongo a insulin kuyenera kukayikiridwa, omwe angakulitse matendawa.

Kugwiritsa ntchito kwambiri mankhwala a insulin kungayambitse kukula kwamitsempha yayikulu:

Zizindikiro zoyipa
matenda edema,
dementia (kusokonezeka kwa malingaliro m'maganizo ndikupanga matenda a dementia).

Hypoglycemia ndiowopsa makamaka kwa okalamba, komanso kwa iwo omwe ali ndi matenda amtima. Odwala a m'magulu awa, amatha kuthana ndi vuto la stroke, myocardial infarction, ndi retinal hemorrhage.

Kanema wochokera pa YouTube pamutu wankhani:

Elena Minkina Anesthetist-resuscitator About wolemba

Maphunziro: Ndinamaliza maphunziro ku Tashkent State Medical Institute ndi digiri ya zamankhwala mu 1991. Mobwerezabwereza anachita maphunziro apamwamba kwambiri.

Zochitika kuntchito: wogonetsa-wausiku wothandizirana ndi mzimayi, wogwirizananso ndi dipatimenti ya hemodialysis.

Chidziwitsocho chimapangidwa ndikupatsidwa chidziwitso chokhacho. Onani dokotala wanu chizindikiro choyamba cha matenda. Kudzipatsa nokha mankhwala kuopsa!

Lowetsani insulin kwa munthu wathanzi: zomwe zingachitike mutamwa mankhwala oopsa

Anthu ena ali ndi chidwi ndi zomwe zimachitika ngati, molakwitsa, chifukwa chofuna kudziwa, kapena chifukwa china, jakisoni wa thanzi ndi insulin. Ndikwabwino kuphunzira za zotsatira za lingaliro kuposa kuyesa zowopsa.

Anthu ambiri amadziwa kuti insulin ndi mahomoni omwe majekeseni ake ndi ofunika kwa odwala matenda ashuga ambiri.

Komabe, monga mankhwala aliwonse, chida chomwe chimathandiza anthu ena kupulumuka chimatha kupha ena.

Zotsatira za insulin thupi

Mwa anthu omwe alibe ma pathologies omwe amagwirizana ndi ntchito ya kapamba omwe amapanga insulin, kuchuluka kofunikira kwa timadzi timalowa m'thupi. Ntchito yayikulu ya insulini ndikusunga kuchuluka kwa shuga m'magazi.

Kuperewera kwake, komanso mopitilira muyeso, kumawopseza zotsatira zoyipa.

Kukhomera insulin kwa munthu wathanzi kuli kofanana ndi kubaya mankhwala oopsa m'thupi.

Kuwonjezeka kwa kuchuluka kwa mahomoni m'magazi kumapangitsa kutsika kwakukulu kwa glucose, hypoglycemia, komwe ndi kowopsa thanzi komanso moyo.

Pankhaniyi, munthu akhoza kugwa, ndipo ndi chithandizo chadzidzidzi, zotheka zimatha.Zotsatira zimatengera mlingo wa mankhwalawo ndi machitidwe a thupi.

Mlingo Wotsutsa

Malingaliro apano ndikuti kuyambitsa insulin yocheperako kwa munthu wathanzi yemwe samadwala matenda a shuga nthawi yomweyo kumabweretsa kugwa.

M'malo mwake, chikomokere ndi imfa ndizotheka pokhapokha ngati mulingo wambiri ulowa mthupi.

Kwa munthu aliyense, kuchuluka kumeneku ndi kwamunthu payekha ndipo zimatengera zinthu zambiri: thanzi lathunthu, kulemera kwa thupi ndi zinthu zina.

Kulandiridwa kwa mlingo woopsa, womwe umawonetsedwa kuti ndi magulu a 100 (syringe yodzaza ndi insulin), umatha kuchita mosiyanasiyana. Pali nthawi zina pomwe anthu adapulumuka pamalowedwe kakhumi kuposa chizindikiro ichi. Komanso, muyenera kudziwa kuti kukula kwa chikumbumtima kumatenga pafupifupi maola atatu. Kuthandizira pa nthawi yake kungathetse njirayi.

Thandizo loyamba

Pamene insulin yaying'ono ilowa m'magazi a munthu wathanzi, chizungulire pang'ono, kumva njala, ndi kufooka. Zizindikiro izi zimatha pang'onopang'ono popanda zovuta. Komabe, ndi mankhwala osokoneza bongo, zizindikiro zotchulidwa zimawonekera. Pankhaniyi, njira zotsatirazi ziyenera kuchitika:

Muyenera kupatsa kudya kachakudya ka mkate. Makumi asanu, zana magilamu ndikokwanira.
Ngati vuto silinakhalepo patangopita mphindi zochepa, idyani supuni ziwiri za shuga wonenepa, kapena maswiti angapo.
Ndi kupitiliza kwa kuukira, idyani chakudya chofanana.

Kuukira kwa hypoglycemia kudzathandizanso kuti muchepetse: tiyi wokoma, msuzi, uchi ndi zakudya zina zamafuta ambiri okhazikika.

Ndikofunikira kudziwa kuti kukulitsa kwambiri kwa hypoglycemia sikuti sikungachitike mwachangu. Wodwala ali ndi nthawi yopempha thandizo asanaonekere zizindikiro monga kukokana, kukomoka, chikomokere.

Ngati bongo wa insulin yoyambitsa kukula kwa hypoglycemia, shuga amaperekedwa kudzera mwa magazi kwa wodwalayo.

Ngati zizindikiro zoyambirira zapezeka, muyenera kuchitapo kanthu kuti mupewe zovuta.

Kodi insulin imaperekedwa liti kwa munthu wathanzi?

Nthawi zina kufooka kwa insulin kumapezeka m'thupi la munthu wathanzi labwino. Izi zimachitika ndikuphwanya kwambiri psychoemotional state, kapena kuchita masewera olimbitsa thupi mopitirira muyeso. Zikatero, madokotala, pamaziko a zidziwitso zamankhwala, amapaka jekeseni wa mahomoni ena kuti aletse kukula kwa vuto la hyperglycemic.

Zofunika! Kubayira insulin kwa munthu wathanzi kumachitika kokha monga akuwongolera dokotala komanso kuyang'aniridwa mwachindunji!

Kugwiritsa ntchito insulin pomanga thupi

Ochita masewera ena amagwiritsa ntchito insulin kuti apange minofu. Musaiwale za kuwopsa kwa mankhwalawa, kudya komwe kungayambitse hypoglycemia. Kugwiritsa ntchito timadzi tambiri, ndikofunikira kuyang'anitsitsa momwe thupi limachitikira ndi mankhwala.

Musanagwiritse ntchito insulin kuti mumange minofu mwachangu, muyenera kuyerekeza zabwino ndi zovuta zake. Mutha kukwaniritsa chiwerengero choyenera kudzera mu masewera olimbitsa thupi osagwiritsa ntchito mankhwalawa. Zimatenga nthawi yambiri, koma zimathandiza kupewa mavuto azaumoyo mtsogolo.

Kuyesa koopsa

Mwa achinyamata, pali nkhani zabodza kuti kukhazikitsa insulini kumabweretsa mkhalidwe wofanana ndi kuledzera. M'malo mwake, jakisoni atatha, kutsika kwa glucose kumachitika, zomwe zimayambitsa zofanana ndi hangover syndrome: kupweteka mutu, kunjenjemera, kufooka.

Kuyesera kotereku kumayambitsa kusokonezeka kwa dongosolo la endocrine, ndipo kukhudzana mobwerezabwereza ndi insulin mwa munthu wathanzi, pamakhala chiopsezo chotupa mu kapamba, kukula kwa chikomokere ndi kufa.

Kodi imfa imayamba msanga bwanji chifukwa cha kuchuluka kwa mankhwala a insulin?

Funso: Ndiuzeni, kodi imfa imadza msanga bwanji kuchokera ku insulin yochuluka ya mafuta?

Mankhwala osokoneza bongo kwambiri amachititsa kuti shuga achepetse kwambiri, ndipo izi zimabweretsa zotsatira zoyipa komanso zowopsa.

Hypoglycemic chikomokere, ndipo imfa itha kukhala chifukwa cha bongo.

Kuchuluka kwa shuga m'magazi pamlingo wa 0,05%, ndipo mulingo wa shuga mumkodzo ndi zero.

Zotsatira zake zimakhala zovuta kwambiri komanso kuthamanga kwa kuyambika kwawo zimatengera mtundu wa insulin yomwe idagwiritsidwa ntchito komanso mlingo wake.

Kukhazikitsidwa kwa insulin wamba, yomwe ikugwira ntchito mwachangu, imatha kukhala chikomokere mkati mwa mphindi 5 mpaka 10.

Pambuyo pa bongo wa insulin yokhala nthawi yayitali, mikhalidwe yoopsa imayamba pang'onopang'ono.

Ngakhale zonse, mwachidziwikire, zimatengera zinthu monga kulemera kwa jenda, zaka, kupezeka kwa matenda oyamba komanso opatsirana, mkhalidwe wosakhazikika komanso thupi lonse.

Ndi chifuwa cha hypoglycemic, zizindikiro zotsatirazi zimawonedwa:

kuchuluka kwa mpweya wamankhwala aubongo,
kuphwanya mu dipatimenti ya hypothalamus ndi pituitary gawo, ndiye kuchuluka kwa thukuta,
wodwala amayamba kuchita zosayenera,
kuphwanya kwa ntchito zamkati, zomwe zimadziwika ndi ana opukusika,
kukokana kwambiri
kukomoka ndikusekerera.

Mlingo wangozi wa chinthu ichi ndi wofanana ndi magawo zana a mankhwalawa, koma pali zochitika zina pomwe wodwalayo amakhalabe ndi moyo pambuyo pokhazikitsa magawo 300 a izi.

Pakakhala thandizo la akatswiri panthawi yake, insulin yowonjezera imadzetsa vuto.

Mlingo wowopsa wa insulin kwa odwala matenda ashuga amatsimikiziridwa ndi mawonekedwe a thupi la wodwalayo, kuchuluka kwa zakudya, komanso zakumwa zoledzeretsa.

Ngati mankhwala osokoneza bongo amawonedwa, wodwalayo ayenera kupereka chithandizo choyamba, chomwe chimakhala chobweretsa mtundu wa 40% shuga m'mitsempha.

Woopsa milandu matenda, kukhazikitsidwa kwa hydrocortisone ndi jakisoni mu minofu ndikofunikira.

Koma nthawi zambiri izi zimachitidwa ndi ogwira ntchito zachipatala, choncho muyenera kupita kuchipatala mwachangu, ndikupatsa wodwalayo supuni iliyonse ya shuga atatu.

Chithandizo chachikulu chimachitidwa kuchipatala chachipatala. Nthawi zambiri wodwala amasiya msanga, koma pambuyo pake amafunika chithandizo chowonjezereka chifukwa cha zovuta zomwe zayamba.

Hypoglycemic chikomokoma nthawi zambiri sichitha popanda kutsatira. Milandu yayikulu ya poizoni wokhala ndi mahomoni ena, amatha kuyambitsa zovuta zingapo zomwe zimagwirizanitsidwa ndi dongosolo lamkati la mantha. Izi zitha kukhala edema ya m'magazi, zizindikiro za meningeal komanso kukula kwa dementia yayikulu.

Chifukwa chake, kufa kwa mankhwala osokoneza bongo kumatha kuchitika osakwana ola limodzi pambuyo pokhazikitsidwa ndi insulin yambiri komanso kusowa kwa thandizo loyamba.

Kodi ndi liti pamene mankhwala amasanduka poizoni?

Jakisoni wothandizirana ndi timadzi timene timayamwa ndi njira yokhayo yochizira matenda amtundu wa 1 shuga. Pazomwe akuchita, pali kuchepa kwa shuga m'magazi mpaka muyeso wathanzi. Kuti njirayi ikhale yothandiza komanso yosapanikirana ndi zovuta (hypoglycemia), mlingo wa insulin umasankhidwa payekhapayekha kwa wodwala aliyense.

Zimatengera izi:

M'badwo wodwala
Zochitika m'matenda
Kunenepa kwambiri
Mkhalidwe wa kagayidwe kazakudya (kubwezeretsa),
Zochita za tsiku ndi tsiku
Makina amagetsi ndi mawonekedwe,
Mulingo wakuchita zolimbitsa thupi
Zotsatira za mbiri ya glycemic (tsiku ndi tsiku).

Pazifukwa zilizonse, dokotala yemwe amapita kusankha amasankha payekha, poganizira zinthu zonsezi. Mwambiri, njira zotsatirazi zilipo:

Kumayambiriro kwa matendawa, pakadalipo insulin yake, 0,5 IU ya mahomoni imayikidwa pa kilogalamu imodzi yakulemera kwa thupi,
Mukakhala kuti palibe kupangika kwa insulin, 1 kg ya mahomoni imapangidwa pa kilogalamu imodzi yakulemera kwa thupi.

Zizindikiro izi zimatha kusintha ndikusintha malinga ndi zifukwa zambiri: kuwonjezeka kowopsa kwa kuchuluka kwa chakudya chamagulu amodzi mwa chakudya kapena kupezeka kwa chimfine ndi kuwonjezeka kwa kutentha.

Njira zikuluzikulu zoyenera kutsatira pakumwa mlingo ndi shuga m'magazi omwe munthu amapereka ndi thanzi labwino.

Pakuwonjezeka kwa shuga wamagazi ngati bongo wapamwamba, kusintha kwa pang'onopang'ono kumachitika mpaka chizindikiritso chokhazikika chizikhala.

Hypoglycemia - zoyambitsa ndi zotsatira zake

Hypoglycemia nthawi zambiri imakhala yoopsa yokhudza thupi kugwiritsa ntchito insulin yambiri pakagwiritsidwe ntchito ka mankhwala kapena osagwiritsa ntchito mankhwala. Vutoli limatha kuchitika mwa anthu odwala komanso iwo omwe amagwiritsa ntchito mahomoni pazosewera.

Mlingo wa shuga umatha kusintha tsiku lonse. Ndi kuchepa kwake mpaka 3.5 mmol / L ndipo pansipa, hypoglycemia imachitika. Nthawi zina, izi zimachitikanso pamlingo wofika 4.5 mmol / L.

Zomwe zimayambitsa hypoglycemia zitha kukhala:

Mulingo waukulu wa insulin
Carbohydrate akusowa mu chakudya (XE),
Zochita zolimbitsa thupi (zazitali),
Zakudya zamavuto okhala ndi chimbudzi ndi kumasanza.

Izi zimachitika modekha komanso zowopsa. Kukhazikika kwa matendawa kumachitika mwadzidzidzi. Poyambirira, vutoli litha kuthana ndi kudziyimira pawokha, chachiwiri, thandizo la akatswiri likufunika.

Zizindikiro za hypoglycemia yofatsa:

Njala
Thupi kugwedezeka ndi kufooka
Kutukwana
Kumva mantha
Chizungulire
Kukongola kwa khungu
Zotsatira
Kuda nkhawa.

Ngati simukuchitapo kanthu kuti muthetse vuto ili, mawonekedwe owopsa nthawi zambiri amapezeka, omwe amadziwika ndi:

Kusokonezeka kwa malingaliro
Kusokonekera kwa mawu
Kutaya chikumbumtima
Kugwirizana kwamiseche,
Zingwe
Coma

Chizindikiro china chofunikira cha hypoglycemia, chomwe chimatha kupha, ndikusinza pambuyo pakulamula kwa insulin. Pankhaniyi, kudya zakudya zopatsa mphamvu zam'thupi pang'ono kumafunika. Sizoletsedwa kugona nthawi ngati izi, chifukwa panthawi yopuma, insulini imatha kukwera mpaka malo ovuta kwambiri ndipo shuga amatsika pang'ono.

Anthu osiyanasiyana ali ndi hypoglycemia m'njira zosiyanasiyana, koma ngati pali ziwiri kapena zitatu mwa zomwe zalembedwa pamwambapa, muyenera kuyeza msanga msanga ndi kupereka thandizo.

Mlingo wa insulin chifukwa cha hypoglycemia

Odwala odwala matenda ashuga amadziwa kuti hypoglycemia yofewa ndi yosapeweka ndipo zimachitika kamodzi pa sabata zimawonedwa ngati zabwinobwino, ngati izi sizikugwirizana ndi insulin yambiri. Pankhaniyi, matendawa amatha kuwonongeka kwambiri pakanthawi kochepa ndipo kufa kumatha kuchitika.

Mlingo wowopsa wa insulin kwa munthu aliyense akhoza kukhala wosiyana. Ena amatha kuloleza mopepuka mlingo wa 300-500 PIECES, ena omwe ali kale pa 100 PIECES amagwa. Izi zimatengera zifukwa zambiri zomwe zafotokozedwapo kale, koma chimodzi mwazofunikira kwambiri ndi kulemera kwa wodwalayo.

Chifukwa chake, mwachitsanzo, munthu yemwe ali ndi kulemera kwa 60 makilogalamu amayenera kupereka ma PISCES a 60, motero Mlingo wa 100 PIECES uli woopsa kale, ndipo munthu yemwe ali ndi kulemera kwa 90 makilogalamu komanso chizolowezi cha 90 PESCES akhoza kusamutsa mankhwalawa mosavuta. Mulimonsemo, bongo umakhala pachiwopsezo chachikulu pamoyo. Izi zimachitika osati kuwonetsedwa kwa zizindikiro zingapo komanso kuwonongeka konsekonse muumoyo, komanso ku zovuta zoyipa zomwe zimatha kuchitika pambuyo pakukomoka.

Khalidwe la bongo

Pakakhala vuto loyamba la hypoglycemia chifukwa cha bongo, muyenera kuchitapo kanthu mwachangu. Simuyenera kuyembekeza kuti zonse zidzangochitika zokha. Choyamba, kuchuluka kwa shuga kumayesedwa, ngati kumakhala kochepa kwambiri, ndikofunikira kudya chinthu chomwe chili ndi mafuta ochepa owonjezera, ndiye kuti, zomwe zimapezeka mosavuta komanso mwachangu ndikulowetsa magazi. Izi zikuphatikiza:

Shuga
Maswiti
Zakumwa zokoma ndi timadziti,
Tiyi yabwino
Wokondedwa

Sitikulimbikitsidwa kugwiritsa ntchito chokoleti, confectionery mu mawonekedwe a ma cookie kapena ma keke, mkaka, kefir, masangweji ndi maapulo. Amakimbidwa kwa nthawi yayitali ndikulowa m'magazi, ndikukweza shuga pang'onopang'ono. Ngati sipangakhale kuchuluka kwa shuga, mungayambitse vuto linalake lamphamvu la hypoglycemia.

Njira yopanga glycemia yoopsa sikuchitika nthawi yomweyo, imatambasulidwa nthawi yayitali. Chamoyo chilichonse chimakhala ndi njira yakeyayo yotchinjiriza ku icho. Njira zoterezi zimaphatikizapo zomwe zimachitika m'thupi ma glucagon ndi adrenaline, zomwe zimapangitsa kuti shuga azikula. Palinso shuga mu chiwindi ndi minofu mu mawonekedwe a glycogen, omwe amapita mwachangu mu mawonekedwe omwe amafunikira ndipo amakamizidwa kulowa m'magazi.

Chifukwa chake, munthu aliyense amakhala ndi gawo linalake ngati kuli kotheka kupewa zotsatira zoyipa. Chifukwa chake, ndikofunikira kwambiri kuti musaphonye zizindikiro zoyambirira. Achibale amayeneranso kumvetsera wodwalayo ndikuwonetsetsa momwe akuwonekera kuti awone zoopsa panthawi yake.

Pofuna kupewa kuyambika kwa glycemia, wodwalayo ayenera kumatenga zakudya zokhala ndi shuga wambiri:

shuga - zidutswa 4-5,
paketi yamadzi otsekemera kapena botolo la mandimu.

Kugwiritsira ntchito kwazinthu zotere ndikofunikira komanso kuvomerezeka nthawi iliyonse pamene zizindikiro zoyambirira za bongo zimawonekera.

Chithandizo chachikulu

Ngati, ngakhale zili choncho, munthu agwa ndi hypoglycemic chikomokere, kuchipatala chimafunikira. Kuthamanga kwa mpumulo kuti muchepetse kuyambika kwa zovuta kwambiri ndikofunikira pano. Pazipatala, mwa kugwiritsa ntchito mankhwala oyenera, madokotala amakonzanso wodwalayo mwachangu.

Zochizira chikomokere, mankhwala a Glucagon amagwiritsidwa ntchito popangira jakisoni wanjira. Imagwira pa glycogen wa chiwindi, ndikupangitsa kuti ichoke msanga ndipo imalowa nthawi yomweyo m'magazi ngati glucose.

Mlingo wa mankhwalawa kwa ana osakwana zaka zisanu ndi ziwiri ndi 0,5 ml, kwa ana azaka zopitilira zisanu ndi ziwiri ndi akulu 1.0 ml.

Munthu akazindikira, amapatsidwa zakumwa zotsekemera zomwe zimangokhala ngati kapu imodzi ndi mkate kuti asadzabwerezenso.

Chotsatira, muyenera kuwunika kuchuluka kwa shuga ndikupitiliza chithandizo, kusintha mlingo wa insulin.

Kusintha kwa Mlingo kumachitika ngati chifukwa cha shuga wochepa ndimankhwala osokoneza bongo a insulin. Mu zochitika pamene izi zimachitika chifukwa cha zakudya zosayenera, katundu wolemera, ndi zina, kusintha kwa mlingo sikuchitika.

Pokhapokha ngati palibe zifukwa zomveka zomwe zingayambitse zoterezi. Komanso mlingo womwe unaperekedwa sunasinthidwe, koma hypoglycemia imabwerezedwa - mlingo uyenera kuchepetsedwa. Kuti munthu athe kuchita bwino pa njirayi amafunika thandizo la katswiri yemwe amadziika molondola ndi kupereka njira yofunikira ya chithandizo.

Kukhala ndi chidziwitso chofunikira chokhudzana ndi kugwiritsa ntchito insulin mu matenda a shuga kapena chifukwa cha masewera, mutha kuyendetsa bwino thanzi lanu popanda kuyika pachiwopsezo chakufa.

Hypoglycemic chikomokere

Kodi munthu wodwala matenda ashuga amalowa kwa ndani atatha kumwa mankhwala a insulin? Pali magawo anayi a chitukuko cha chithunzi chachipatala:

Ndayamba. Pali kuchepa kwa mpweya m'maselo a chithokomiro. Hypoxia imasonyezedwa ndi zomwe tafotokozazi.
Gawo lachiwiri. Hypothalamic-pituitary zone yaubongo imakhudzidwa. Mutha kuwona thukuta kwambiri komanso machitidwe osayenera.
III gawo. Pali kuphwanya magwiridwe antchito a midbrain. Mitsempha yamagetsi yolimbitsa thupi imawoneka, ana ake amachepa.
Gawo la IV. Mkhalidwe wowopsa womwe umatha kuti munthu asazindikire. Pafupipafupi mphamvu ya minofu yamtima ndi kuwonjezeka kwa mtima. Mukapanda kupereka thandizo, imfa idzachitika.

Pambuyo pa kupuma kwa hypoglycemic, zovuta zosavomerezeka zimakhalabe, ngakhale wodwalayo atachotsedwa mwachangu pamalo owopsa ndikubwezeretsanso moyo wabwinobwino.Kudalira kwa odwala matenda ashuga pamankhwala a insulin akuwonjezeka. Wodwala akapanda jakisoni panthawi, ndiye kuti adzafooka.

Kodi mungapewe bwanji mankhwala osokoneza bongo?

Wodwala matenda ashuga ayenera kumwa insulin mogwirizana ndi malangizo a dokotala. The endocrinologist imatsimikiza mlingo wa mankhwalawa komanso kuchuluka kwa kayendetsedwe kake. Zingwe ziyenera kuchitika pofotokozedweratu.

Wodwalayo amatha kugwiritsa ntchito cholembera syringe mwaokha. Zomwe akufunika kuchita ndikusankha mtundu wokwanira.

Jakisoni amayenera kuchitidwa monga adauzidwa ndi dokotala musanayambe kudya kapena mutatha kudya. Kutsatira malamulo onse pansipa ndikofunikira:

Imbani manambala omwe mwapatsidwa.
Fotokozerani malo omwe mukufuna kuti jekeseni ndi pepala la thonje ndi mowa.
Lowetsani mankhwalawa ndikudikirira kwa masekondi 10 kuti athe kuyamwa bwino, ndiye kuchotsa singano.

Jakisoni wa insulin amayikidwa m'mimba, popeza malowa ndi ochepa poyerekeza ndi mbali zina za thupi zolimbitsa thupi. Ngati mumalowa mankhwalawo m'miyendo, ndiye kuti mayamwidwe adzachepa chimodzimodzi ndi mayamwidwe ake.

Poizoni wa insulin mwa munthu wathanzi

Munthu wathanzi amatha kupha insulini. Chomwe chikuchitika ndi mkhalidwe wosasamala wa dokotala pantchito yake, yemwe adazindikira molakwika ndikumupatsa mlingo wa insulin kwa wodwala yemwe alibe matenda a shuga. Pambuyo polowa munthu wathanzi, mankhwalawa amakhala ngati poizoni wokhala ndi organic. Amachepetsa kwambiri shuga. Zizindikiro zimawonedwa:

Arrhasmia
Kuthamanga kwa magazi
Mutu
Maulendo aukali
Kumva mantha
Kugwirizana kwamiseche,
Pali njala yamphamvu,
Kufooka m'thupi lonse.

Thandizo loyamba kwa munthu wathanzi ndilofanana - kumwa chakudya cha m'thupi. M'tsogolomu, ndikofunikira kuti mutembenukire kwa akatswiri akatswiri omwe akudziwa zambiri. Adzakulemberani chithandizo choyenera, chomwe chithandiza thupi la munthu wathanzi kuchira.

Ngati mwapezeka kuti muli ndi matenda a shuga, muyenera kuwonetsetsa kuti ndi zolondola.

Zomwe zimayambitsa ndi zizindikiro za bongo

Gululi la anthu liyenera kuwunika momwe alili, kuzindikira palokha kuchuluka kwa shuga m'magazi, pogwiritsa ntchito zida zapadera za izi. Mukaphwanya lamulo ili, ndiye kuti mwina pali vuto lomwe lingakhale lokwanira mahomoni m'magazi.

Malo achiwiri m'gulu lachiwopsezo ndi la othamanga omwe amachita masewera olimbitsa thupi. Kwa gulu la anthu awa, akatswiri amadziwa zinthu zotsatirazi zoopsa zomwe zingayambitse kukula kwa hypoglycemia chifukwa cha kuchuluka kwa insulin mthupi:

Mankhwala olakwika a kuchuluka kwa mankhwala operekedwa kwa odwala matenda ashuga.
Kuthekera kwa hypoglycemia ndi kufa kumatha kuchitika ngati mtundu wa mankhwalawo ndi ma syringe asintha.
Pali chiopsezo chochepetsera kuchuluka kwa insulin m'magazi pazinthu zowopsa ngati palibe zakudya zopatsa mphamvu zazakudya za othamanga.
Kwa anthu omwe akuchita masewera olimbitsa thupi, mwayi wokhala ndi hypoglycemia ulipo ndikugwiritsa ntchito molondola nthawi yomweyo mahomoni ofulumira.
Ngati wothamanga amaphwanya zakudya ndikudumphira pakudya pambuyo pakubaya insulin.

Kwa munthu wathanzi labwino, kuchuluka kwa insulin patsiku ndi 2-4 IU. Pankhani ya othamanga - omanga thupi - 20 IU, ndi matenda ashuga - kuyambira 20 mpaka 50 IU. Kupitilira Mlingo uwu pagulu lililonse la anthu, ndikufuna kudzazidwa ndi mitundu yambiri ya mankhwala osokoneza bongo.Pankhaniyi, munthu ali ndi chithunzi chotsatira cha matenda:

Kumverera kwa njala yayikulu, migraine komanso kufooka kwathunthu poyambira gawo lambiri la mlingo womwe wapatsidwa.
Kuchita thukuta kwambiri kwa manja ndi masisitere, kutsekeka kwa khungu, dzanzi manja ndi miyendo, komanso kuchepa kwa kuwona kwamphamvu mu gawo lachiwiri la bongo.
Kukula kwa dziko lomwe likuwopseza, kugunda kwamtima komanso kukomoka ndi gawo lachitatu.

Mankhwala osokoneza bongo a insulin komanso kuchuluka kwa mahomoni

Monga taonera kumayambiriro kwake, kuchuluka kwa mahomoniwa kumasiyanasiyana malinga ndi munthu aliyense.

Ena amalekerera mosavuta kuchokera kumagulu 300 mpaka 500 a mankhwalawo, kwa ena, ndipo mayunitsi 100 angayambitse chikomokere. Pano pali zifukwa zingapo zomwe zimagwira, kuphatikizapo kulemera kwa wodwalayo.

Chifukwa chake, mankhwala oopsa (a insulin) ndi munthu wodwala matenda ashuga amasiyanasiyana.

Mukanyalanyaza zizindikiro zomwe zili pamwambapa, munthu akhoza kuyamba kufooka chifukwa cha hypoglycemia, kapena chikomokere. Zikatere, munthu amatha kugwa mwachangu kwambiri kapenanso mwadzidzidzi. Pokhapokha ngati chithandizo chanthawi yake chachipatala chitayamba chikomokere, chiopsezo cha kufa chikuwonjezeka.

Ngakhale kuti mulingo wowopsa wa mankhwalawa ndiwawokha, kupezeka kwa zotsatira zakupha kumachitika chifukwa cha kulekerera kwa mankhwalawo, komanso zakudya ndi mowa.

Tiyenera kudziwa kuti kuphatikiza pa kubala kamodzi kapena jakisoni wakupha, odwala amatha kudwala kwambiri chifukwa cha kuchuluka kwa insulin m'magazi. Izi zimadziwika ndi zizindikiro zotsatirazi:

zovuta zamatsenga
kulakalaka zabwino nthawi zonse,
kuchuluka kwambiri kwa thupi
kuchuluka kwa shuga mthupi,
kukula kwa ketoacidosis,
kusakhazikika kwa hypoglycemia.

Choyamba thandizo vuto la bongo

Zingachitike kuti munthu wapafupi adayamba kudwala chifukwa cha vuto la hypoglycemia, ndiye kuti akatswiri amalimbikitsa kuyika wodwala mbali imodzi, atapatsidwa mwayi womupatsa tiyi wokoma ndikuyitanitsa gulu lachipatala ladzidzidzi.

Zizindikiro za hypoglycemia zikawonetsedwa, timalimbikitsidwanso kudziwa kuchuluka kwa shuga a wodwala pogwiritsa ntchito zida zapadera zomwe zimapangidwira kudziwa kuchuluka kwa shuga kunyumba. Ponena za odwala omwe ali ndi matenda a shuga 1, ayenera kukhala ndi paketi yamadzi aliwonse, chidutswa cha shuga, komanso syringe ndi insulin.

Pambuyo poti wodwalayo alowetsa kholingo, chithandizo chikhala ndikuchotsa zomwe zingachitike, zomwe zimasiyana mosiyanasiyana.

Zotsatira zoyipa kwambiri za kuchuluka kwa mankhwala a insulin kapena kuyambitsa kumwa kwa mankhwala oopsa, akatswiri amatha kusiyanitsa edema ya m'magazi, kukula kwamavuto amisala komanso kupezeka kwa matenda oopsa.

Kuphatikiza apo, pakakhala mankhwala osokoneza bongo ambiri, odwala amakhala ndi vuto lokhudzana ndi mtima, lomwe limakhala lodzala ndi matenda a sitiroko, matenda a ziwongo ndi chithokomiro cha m'miyoyo.

Chifukwa chake, ngakhale mlingo woyipa wa insulin utalowetsedwa m'thupi la wodwalayo, ndizotheka kupewa kukula kwa zovuta zazikulu ndi kufa.

Ndikofunikira kudziwa momwe mungakhalire moyenera pazinthu zina ndikupatsa wodwalayo chithandizo chokwanira komanso chanthawi yake.

Kutsatira malamulo onsewa sikungapulumutse moyo wa munthu, komanso kumamuthandiza kukhalabe ndi moyo wabwino.

IMFA. Matenda a shuga.Nkhani yanga: Chakudya cham'mawa cha odwala matenda ashuga: singano, glucometer, insulin.

Pafupifupi insulini

Ma hormone, mwatsoka, sangatengeke ndi chakudya. Ngati mutadya chinthu chokhala ndi insulini, chinthucho chimasungunuka m'matumbo athu ndipo sichilowa m'magazi. Chipulumutsidwe mu shuga kokha jakisoni wa mankhwala.

Insulin yaumunthu ndi chinthu cha peptide. Kuphatikiza pa shuga, iye amanyamula potaziyamu komanso ma amino acid osiyanasiyana. Gome lotsatirali likuwonetsa kuchuluka kwama mahomoni kutengera ndi zaka komanso wodwala:

M'badwo ndi chikhalidwe	Kutsika Kotsika (μE / ml)	Malire (a μE / ml)
Ana	3	20
Akuluakulu	3	25
Amayi oyembekezera	6	28
Okalamba (wopitilira 60)	7	36

Glucose omwe amapezeka ndi thupi panthawi yazakudya amakhala othandizira m'badwo wa insulin. Amino acid arginine ndi leucine, mahomoni cholecystokinin ndi estrogens, calcium, potaziyamu, ndi mafuta acids zimathandizanso pakupanga mahomoni. Imachepetsa m'badwo wa insulin.

Ntchito za insulin zimaphatikizapo:

Kulimbikitsa kuthekera kwa glucose komwe kumachitika ndi maselo kuti apangitse mphamvu zambiri,
Ma enzymero olimbikitsa
Kuchulukitsa kwa glycogen, komwe kumalimbikitsa mayamwidwe a shuga ndi minyewa ya chiwindi ndi maselo amisempha,
Kuchepetsa mapangidwe a shuga omwe amasungidwa m'chiwindi
Kukula kwa kuthekera kwa maselo kupanga amino acid,
Kupereka kwamaselo okhala ndi potaziyamu, magnesium ndi phosphorous,
Kachitidwe ka mapuloteni,
Zimapangitsa kutembenuka kwa glucose kukhala triglycerides.

Kuphatikiza apo, mahomoniwa amachepetsa kuwonongeka kwa mapuloteni komanso amachepetsa kuyenda kwamafuta m'magazi.

Zomwe zimapangitsa kuti Insulin Iwonjezere

Chochulukitsa chomwe chimayambitsa kuphatikiza kwamankhwala ambiri ndi chosankha cholakwika cha odwala omwe ali ndi matenda ashuga. Anthu omwe akudwala matendawa amakhudzidwa makamaka ndi izi. Zifukwa zonse za kuchuluka kwa mahomoni panthawi ya jakisoni zimatha ndi mndandanda:

Chovuta chochitika ndi endocrinologist momwe insulin imalowetsedwera munthu yemwe safuna,
Kuwerengera molakwika kwa mankhwala kunapangidwa,
Tinayambitsa insulini yayifupi komanso yayitali pakapita kamodzi,
Kusintha mtundu wa mankhwala,
Kusankha syringe yayikulu ya mankhwala
Kulephera kubwezeretsa kwina zamagetsi pamasewera,
Kuphwanya zakudya regimen (osatenga chakudya pambuyo jakisoni wa mahomoni).

Pofuna kupewa bongo, muyenera kufunsa katswiri wokhudza mtundu wa mankhwalawa komanso mtundu wa jekeseni wa tsiku ndi tsiku.

Zizindikiro zakukhathamiritsa kwa mahomoni ambiri

Zotsatira za kuchuluka kwa insulin zikuwonetsedwa ndi zizindikiro:

Kumva kufooka thupi lonse
Mutu wosakhalitsa
Njala yopanda nzeru
Kudzaza pakamwa ndi malovu,
Khungu,
Thukuta kwambiri
Kumva dzanzi m'miyendo,
Kuwonongeka kwa diso,
Kumvetsani bwino
Kuthamanga kwa mtima
Kusokonezeka m'malingaliro
Kukhumudwitsa.

Ngati zinthu sizinatengedwe panthawi yowonjezera kuchuluka kwa shuga mu heme, imfa imatha kuchitika. Mlingo wowopsa wa insulin kwa munthu wathanzi umatsimikiziridwa ndi kuchepa kwa 5 mmol / L pambuyo pobayira shuga poyerekeza ndi mulingo wabwinobwino.

Timadzi timeneti timakula ndi kusakwanira kwa impso komanso kusintha kwamafuta m'maselo a chiwindi. Kuwonjezeka kwa kupanga kwa mahomoni m'thupi kumachitika ndi matenda otupa, pomwe zotupa zokha zimapanga insulin. Voliyumu ya insulini imadzanso nthawi yapakati.

Madokotala samalimbikitsa kuti pakhale mgwirizano wa insulin ndi mowa. Tsoka ilo, si onse odwala matenda ashuga omwe amamvera malangizowo. Chifukwa chake, akatswiri apanga malamulo otsatirawa:

Ngati mukufuna kumwa zakumwa zoledzeretsa, mlingo wa mahomoniwo uyenera kuchepetsedwa izi zisanachitike.
Asanamwe komanso atamwa mowa, thupi liyenera kudya zakudya zamafuta ochepa,
Anthu odwala matenda ashuga samalangizidwa kumwa zakumwa zoledzeretsa,
Tsiku lotsatira, atamasulidwa, wodwalayo ayenera kuyeza kuchuluka kwa shuga posanthula magazi ndikusintha kuchuluka kwa mankhwalawo.

Mankhwala osokoneza bongo kwambiri a insulin ndi oopsa a hypoglycemic (okhala ndi shuga wambiri) komanso kufa. Mlingo wowopsa umatengera thanzi la munthu, kulemera kwake, kudya, kumwa, ndi zina. Kwa munthu m'modzi, imfa imatha kupezeka 100 IU ya insulin, ina pambuyo pa 300 kapena 500 IU.

Mahomoni owonjezera

Mankhwala osokoneza bongo ambiri a insulin amatsogolera ku mfundo yoti mahomoni amapanga mwachangu kwa wodwala omwe amachepetsa kuchepa kwa shuga m'thupi. Izi zimaphatikizapo adrenaline, corticosteroids, glucagon. Zizindikiro za kuchuluka kwa insulin kwambiri:

Kumva zosasangalatsa
Njala yokhazikika
Kunenepa kwambiri
Maonekedwe a ketoacidosis ndi acetonuria (kuchuluka kwa shuga mu heme ndi kuwonjezereka kwa kukhalapo kwa matupi a ketone, kupezeka kwa mamolekyulu a acetone mu mkodzo, kusowa kwamphamvu kwa asidi, kuchepa kwa madzi m'thupi),
Kusintha kwadzidzidzi kwa shuga masana,
Kusinthasintha pafupipafupi kwa shuga ambiri,
Kutsika pafupipafupi kwa kuchuluka kwa shuga mu lymph pansipa 3.9 mmol / L (hypoglycemia).

Ndi mankhwala osokoneza bongo ambiri, zomwe zimachitika m'mawa "m'mawa" zimadziwika. Zimanenedwa kuti pambuyo poti jakisoni wamadzulo ochulukirapo kuyambira 2 mpaka 4 a.m. pali kuchepa kwa shuga. Zotsatira zake ndikuti thupi limayamba kulimbikitsa gwirisi mwachangu m'matanki osungira, ndipo pofika 5-7 am msinkhu wa shuga umakwera kwambiri.

Njira zoyambirira zothandizira bongo

Ngati wodwala ali ndi zizindikiro za kuchuluka kwa mahomoni omwe afotokozedwa pamwambapa, ndikofunikira:

Idyani mikate yoyera 100,
Ngati palibe kusintha, idyani maswiti atatu kapena supuni zochepa za shuga,
Yembekezani mphindi 5, ngati palibe kusintha, imwani zam'madzi kachiwiri.

Ngati zizindikiro za mankhwala osokoneza bongo zili zowopsa - kutaya chikumbumtima, kukomoka, ndi zina zotere, ndikofunikira kuyambitsa yankho la shuga kwa wodwalayo. Kuyambira 30 mpaka 50 ml ya 40% yankho limayendetsedwa kudzera m'mitsempha. Ngati zizindikiro zikulimbikira, bwerezani jakisoni.

Zotsatira za bongo

Pafupifupi gawo limodzi mwa magawo atatu a odwala matenda ashuga onse amakhala ndi insulin yambiri nthawi imodzi. Palibe chifukwa chochitira mantha. Mukungofunika kudya zakudya zam'kati zothamanga zomwe zimakulitsa shuga. Kulimbikitsa kwa insulin komwe kumachepetsa kuchepetsa shuga kumakhala kowopsa. Izi nthawi zina zimabweretsa chithandizo chosayenera - kuchuluka kwa jakisoni wa insulin m'malo mwa kuchepa.

Kuti mumve zambiri, muyenera kuyimba ambulansi, yomwe dokotala wake amapatsa jakisoni jakisoni wa shuga, popeza zimakhala zovuta kuti amateur apange jakisoni m'mitsempha. Mankhwala osokoneza bongo okwanira ali owopsa. Zotsatira zake ndikuphwanya magwiridwe antchito aubongo - matenda a edema, zochitika zokhudzana ndi amuna. Komanso, insulin yochulukirapo imayambitsa chiopsezo cha stroke kapena kugunda kwa mtima.

Popewa zotsatira zosasangalatsa, zimakhala zomveka kupenda kuchuluka kwa shuga ndi glucometer ndikusintha mankhwalawo kumbali pamene kuchuluka kwa glucose kumatsika. Ngati mukulowetsa insulin mwa munthu wathanzi, muyenera kuganizira izi mopitirira muyeso ndipo, ndi mlingo wochepa, tengani zomwe tafotokozazi. Ngati insulin yayikulu imaperekedwa kwa munthu wathanzi, imayambitsa zomwe zimachitika monga mankhwala oopsa. Pankhaniyi, muyenera kuyitanitsa ambulansi mwachangu.

Insulin: Mankhwala osokoneza bongo komanso owopsa kwa munthu wathanzi

Malinga ndi akatswiri, ndipo zokumana nazo zikuwonetsa kuti mlingo woyipa wa insulin kwa munthu wathanzi ndi munthu payekha. Pankhaniyi, zonse zimatengera kulemera kwamthupi la wodwalayo.Ngati tizingolankhula za mahomoni otchulidwa motero, ndiye kuti jakisoni wa insulin amagwiritsidwa ntchito mwachangu pantchito za odwala omwe ali ndi matenda osokoneza bongo, komanso othamanga omwe akuchita nawo masewera olimbitsa thupi, kuti apange minofu.

Kanema (dinani kusewera).

Pofuna kupewa zovuta zakupha za m'gulu lino la anthu, ndikofunikira kuti mulingo wa mankhwalawa uzitsimikizika molondola.

Monga chifukwa chofala kwambiri kuti mulingo wa mankhwalawa ukadutsa, akatswiri amatcha njira yodyetsera mahomoni yomwe imasokonezedwa payekhapayekha yosankhidwa ndi katswiri. Chiwopsezo chopitirira cha kuchuluka kwa insulin kwa odwala omwe ali ndi matenda ashuga. Gululi la anthu liyenera kuwunika momwe alili, kuzindikira palokha kuchuluka kwa shuga m'magazi, pogwiritsa ntchito zida zapadera za izi. Mukaphwanya lamulo ili, ndiye kuti mwina pali vuto lomwe lingakhale lokwanira mahomoni m'magazi.

Mankhwala olakwika a kuchuluka kwa mankhwala operekedwa kwa odwala matenda ashuga.
Kuthekera kwa hypoglycemia ndi kufa kumatha kuchitika ngati mtundu wa mankhwalawo ndi ma syringe asintha.
Pali chiopsezo chochepetsera kuchuluka kwa insulin m'magazi pazinthu zowopsa ngati palibe zakudya zopatsa mphamvu zazakudya za othamanga.
Kwa anthu omwe akuchita masewera olimbitsa thupi, mwayi wokhala ndi hypoglycemia ulipo ndikugwiritsa ntchito molondola nthawi yomweyo mahomoni ofulumira.
Ngati wothamanga amaphwanya zakudya ndikudumphira pakudya pambuyo pakubaya insulin.

Kwa munthu wathanzi labwino, kuchuluka kwa insulin patsiku ndi 2-4 IU. Pankhani ya othamanga - omanga thupi - 20 IU, ndi matenda ashuga - kuyambira 20 mpaka 50 IU. Kupitilira Mlingo uwu pagulu lililonse la anthu, ndikufuna kudzazidwa ndi mitundu yambiri ya mankhwala osokoneza bongo. Pankhaniyi, munthu ali ndi chithunzi chotsatira cha matenda:

Kumverera kwa njala yayikulu, migraine komanso kufooka kwathunthu poyambira gawo lambiri la mlingo womwe wapatsidwa.
Kuchita thukuta kwambiri kwa manja ndi masisitere, kutsekeka kwa khungu, dzanzi manja ndi miyendo, komanso kuchepa kwa kuwona kwamphamvu mu gawo lachiwiri la bongo.
Kukula kwa dziko lomwe likuwopseza, kugunda kwamtima komanso kukomoka ndi gawo lachitatu.

Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi?

Insulin imadziwika kuti ndi imodzi mwama hormone ofunika kwambiri pazomwe zimapangidwa m'thupi la munthu. Amapangidwa ndi kapamba ndikuwongolera kagayidwe kazakudya. Ngakhale kupatuka kofunikira kwambiri kwa hormone iyi kuchokera ku chizindikiro chodziwika bwino chomwe njira zamatenda zayamba kukula m'thupi. Koma ndikofunikira kudziwa kuti ngakhale mwa anthu athanzi lathunthu, kuchuluka kwa timadzi tambiri timeneti kumasintha pang'ono, nthawi zambiri izi zimachitika munthawi yovuta. Ndi thanzi labwino, zizindikirozi zimangobwerera mwachangu. Anthu ena amasamala zomwe zimachitika ngati atabaya insulin mwa munthu wathanzi yemwe kapamba kake kakugwira ntchito bwino.

Chimachitika ndi chiani mukabaya insulin mwa munthu wathanzi?

Ngati mukulowetsa insulin kwa munthu wathanzi, ndiye kuti izi zidzakhala zofanana ndi chakuti poizoni wina adalowetsa munthu. M'magazi, kuchuluka kwa mahomoni kumakwera kwambiri, komwe kumapangitsa kutsika kwa glucose ndi hypoglycemia. Izi ndi zoopsa ku thanzi la munthu komanso moyo. Nthawi zambiri, pakuwonjezeka kwa insulini m'magazi, odwala amagwa chikomokere, ndipo ngati chithandizo sichinaperekedwe pa nthawi, ndiye kuti zotsatira zake zingathe. Ndipo zonsezi zimachitika pokhapokha chifukwa timadzi timalowa m'thupi la munthu yemwe samamufuna.

Ngati jakisoni adaperekedwa kwa munthu wathanzi yemwe alibe matenda a shuga, ndiye kuti adzakhala ndi mavuto angapo azaumoyo:

kuthamanga kwa magazi kukwera
arrhasmia imayamba
kunjenjemera miyendo
migraine ndi kufooka wamba,
munthu amakhala wankhanza kwambiri
Pali kumverera kwa njala pakati pa nseru nthawi zonse,
mgwirizano wa mayendedwe onse wasokonekera,
ana amatupa kwambiri.

Kutsika kwakukulu kwa shuga m'magazi kumabweretsa amnesia, kukomoka, ndi hyperglycemic coma.

Anthu omwe ali ndi matenda ashuga ayenera kukhala ndi caramel pafupi. Pankhani yotsika kwambiri m'magazi, ndikofunikira kupukuta maswiti.

Nthawi zina madokotala amapereka insulin kwa anthu athanzi opanikizika kwambiri, komanso nthawi yambiri yochita masewera olimbitsa thupi, pomwe timadzi tambiri timeneti sizokwanira m'thupi. Pankhaniyi, mahomoniwo sangatheke, komanso ofunikira, popeza kuchepa kwake kumabweretsa chikomokere cha hyperglycemic.

Ngati munthu wathanzi atabayidwa ndi insulin yochepa kwambiri, ndiye kuti thanzi lake silikhala pachiwopsezo. Kutsika kwa chizindikiritso cha glucose m'magazi kumangoyambitsa kumverera kwanjala ndi kufooka pang'ono. Koma nthawi zina, jakisoni wa ngakhale mlingo wochepa ungayambitse hyperinsulism, yomwe imawonetsedwa ndi zizindikiro zotere:

Khungu limatembenuka kwambiri
thukuta limachuluka
chidwi chachikulu chimachepa
ntchito ya mtima isokonekera.

Kuphatikiza apo, kunjenjemera kumawoneka m'miyendo, ndipo kufooka wamba kumamveka m'misempha.

Munthu wathanzi labwino kwambiri amatha kupatsidwa insulin kokha malinga ndi zomwe dokotala akuwonetsa komanso motsogozedwa naye.

Kumbukirani kuti kuchuluka koopsa kwa insulin kwa munthu wathanzi ndi 100 PESCES - iyi ndiye syringe yonse ya insulin. Koma pazochitika zapadera, kuchuluka kumeneku kungakhale kokulirapo, zonse zimatengera mkhalidwe wamba waumoyo wa anthu komanso chikhalidwe chake. Pali nthawi zina pamene munthu amakhalabe ndi moyo, ngakhale mlingo wake utaperekedwa nthawi 10-30. Izi zikutanthauza kuti munthu ali ndi mwayi pamoyo ngakhale ali ndi insulin yambiri. Kusekerera kumayamba kwinakwake m'maola atatu, ngati nthawi ino kuonetsetsa kuti magazi atuluka m'magazi, zimayambiranso.

Mlingo wa insulin kwa odwala omwe ali ndi matenda a shuga amawerengedwa payekhapayekha ndi endocrinologist, kutengera zotsatira za mayeso. Nthawi zambiri, odwala matenda ashuga amawerengeredwa kuchokera 20 mpaka 50 magawo a mahomoni.

Ngakhale kuwonjezeka kochepa kwambiri kwa mlingo womwe dokotala watchulidwa kungam'pangitse kudwala.

Mlingo wowopsa wa insulin kwa odwala matenda ashuga ndi oposa magawo 50. Pogwiritsa ntchito kuchuluka kwa mankhwalawa, vutoli limayamba, lomwe limafunikira chisamaliro chodzidzimutsa.

Chimachitika ndi chiyani ngati mumabayira insulini pafupipafupi mwa munthu wathanzi?

Ndi makonzedwe obwerezabwereza a horoni kwa munthu wathanzi, zotupa za pancreatic, matenda a endocrine ndi zovuta zama metabolic zimayamba. Chifukwa chake, anthu athanzi amapatsidwa mankhwalawa pokhapokha pazomwe adokotala akuwonetsa komanso mwadzidzidzi.

Ngati munthu wathanzi amamwa mwangozi kapena makamaka insulin, ndiye kuti palibe chomwe chimachitika. Mankhwalawa amangogaya m'mimba popanda zotsatirapo zaumoyo. Izi zikufotokozera kuti mankhwala am'kamwa a odwala matenda ashuga sanapezebe.

Ngati, jakisoni wa insulin, zizindikiro za mankhwala osokoneza bongo atayamba kuonekera kwa munthu wathanzi kapena wodwala matenda a shuga, muyenera kumuthandiza nthawi yomweyo.

Kuchulukitsa chakudya chamafuta mthupi, munthu amapatsidwa buledi woyera, magalamu 100 okha ndi okwanira.
Ngati kuukira kumatha kupitirira mphindi 5, tikulimbikitsidwa kudya supuni zingapo za shuga kapena ma caramel angapo.
Ngati atadya mkate ndi shuga zinthu sizinakhazikika, amagwiritsa ntchito zinthu zomwezi.

Mankhwala osokoneza bongo nthawi zambiri amachitika ndi munthu aliyense wodalira insulin. Koma apa ndikofunikira kuthandizira pakapita nthawi, chifukwa ndimankhwala ambiri osokoneza bongo, ketoacidosis yacute imatha kupezeka, yomwe ingafune kugwiritsa ntchito mankhwala amphamvu. Zikatere, mkhalidwe wodwala umakulirakulira.

Nthawi zina achinyamata amasankha kuyesa koopsa ndi thanzi lawo, ndikudzibaya jakisoni. Mphekesera zikuzungulira pakati pa achinyamata zomwe insulin imathandizira kuti azichita bwino. Koma ndiyenera kunena kuti mphekesera zotere zilibe maziko.

Hypoglycemia imafanana kwambiri ndi kuledzera, koma imakhudzanso thupi.

Komabe, ziyenera kumvedwa kuti zakumwa zoledzeretsa zimawonedwa ngati mphamvu zochepa, zomwe thupi limalandira mosagwiritsa ntchito gawo lake. Koma pankhani yochepetsera kuchuluka kwa shuga, zinthu ndizosiyana pang'ono. M'mawu osavuta, m'malo mwa phokoso lomwe likuyembekezeredwa, munthu amapezeka wolimba kwambiri ndi mutu wovuta komanso kunjenjemera kosalozeka m'miyendo. Tisaiwale kuti kubwereza kwamankhwala mobwerezabwereza kwa munthu wathanzi labwino chifukwa cha zotsatira za kusokonekera kwa dongosolo la endocrine.

Makolo ayenera kuyang'anitsitsa ana awo akamakula ndipo nthawi zambiri amakambirana nawo za kupewa kupewa kumwa mankhwala mosagwiritsa ntchito dokotala.

Insulin ndi yofunika kwambiri kwa anthu omwe ali ndi matenda amtundu wa shuga, koma kwa munthu wathanzi mahomoniwa amatha kugwiritsidwa ntchito mwanjira zina.

Zimachitika bwanji ngati mutabaya insulin mwa munthu wathanzi: mankhwala osokoneza bongo ndi zotsatira zake

Anthu omwe ali ndi matenda amtundu wa 1 amakonda kudziwa jakisoni wa insulin tsiku lililonse kuti akhale ndi moyo. Mankhwala osokoneza bongo a insulin nthawi zambiri amapezeka. Ichi ndi mahomoni ofunikira kwambiri omwe amayang'anira shuga.

Mu matenda a shuga a shuga ndi kuperewera kwa insulin, chikomokere cha matenda ashuga ndi zotsatira zina zowopsa za matendawa zimayamba. Njira yokhayo yosakhalira ndi thanzi labwino ndikuphunzira kuwerengera bwino za insulini.

Ndikofunika kudziwa kuti palibe njira zotsimikizika zomwe zimatsimikizira kuchuluka koyenera kwa chinthu, motero, mankhwala osokoneza bongo a chinthuchi ndi chinthu chodziwika bwino.

Asanalandire mahomoni, dokotala yemwe amapita amawerengetsa kuchuluka kwa wodwalayo malinga ndi maphunziro ake ndi zidziwitso, motero, nthawi zina, pali insulin yambiri.

Pali insulin m'thupi la munthu malinga ndi kuchuluka kwake, koma kusintha kwa kuchuluka kwake kumayambitsa zovuta zingapo za metabolic, zomwe zimakhala zowopsa.

Insulin ili ndi zotsatirapo zabwino komanso zabwino m'thupi la munthu.

kusintha kwa kapangidwe ka mapuloteni,
kuteteza kapangidwe ka maselo a mapuloteni,
kuteteza amino acid mu minofu minofu, yomwe imawonjezera kukula kwawo,
kutenga nawo gawo kapangidwe ka glycogens, zomwe zimathandizira kuti shuga isungike m'misempha.

Anthu amazindikiranso zinthu zoyipa zomwe zimachitika mthupi ngati muli ndi insulin yambiri m'magazi:

zimathandiza kuteteza mafuta,
Amapangitsa kuti pakhale zotsekemera za ma cell zolandilira,
bwino mafuta acid synthesis,
kumawonjezera kuthamanga kwa magazi
amachepetsa kutanuka kwa makoma amitsempha yamagazi,
zimathandizira kuti pakhale maselo owononga chotupa.

Mu nthawi yokhazikika ya seramu yamagazi, insulin imakhala kuchokera 3 mpaka 28 mcU / ml.

Kuti phunziroli likhale lothandiza, magazi ayenera kumwedwa kokha pamimba yopanda kanthu.

Zomwe zimayambitsa hypoglycemia ndi izi:

kusankha kolakwika kwa mankhwala,
kusintha mtundu wa syringes ndi mankhwala,
masewera osapatsa mafuta
kudya moyenera komanso nthawi yomweyo insulin,
kuphwanya zakudya pambuyo jekeseni (kunalibe chakudya atangochita),

Munthu aliyense amene amadalira insulin, kamodzi kamodzi m'moyo wake, anali kumva zosasangalatsa zomwe zimayambitsidwa ndi mankhwala osokoneza bongo ambiri. Zizindikiro zazikulu za bongo za insulin:

kufooka kwa minofu
ludzu
thukuta lozizira
miyendo yanjenjemera
chisokonezo,
kuchuluka kwa thambo ndi lilime.

Matendawa amayenera kuyimitsidwa msanga, apo ayi wodwalayo amagwa, ndipo zimakhala zovuta kwambiri kuti atuluke.

Somoji syndrome ndi insulin overdose syndrome, ndiko kuti, mkhalidwe wovuta womwe umabweretsa zotsatira zosasintha ndipo umafunikira chisamaliro chapadera.

Zizindikiro zazikulu za hypoglycemia:

kulakalaka
matenda oopsa
kuchuluka kwa acetone mu mkodzo,
kuthamanga kwambiri, zomwe zimachitika chifukwa cha kuchuluka kwa shuga mumkodzo,
malingaliro amunthu pa ketoacidosis,
shuga amayamba kuchuluka tsiku lililonse,
hypoglycemia zoposa nthawi 1 patsiku,
Kulembetsa pafupipafupi kwa shuga wambiri.

Dokotala akapita kutali kwambiri ndi insulin, odwala matenda ashuga amawonetsa zina pakapita kanthawi. Ngati mukulowetsa insulin mwa munthu wathanzi, imayambitsa mawonekedwe owopsa a poizoni.

Zikakhala zotere, jakisoni wa insulin amakhala ngati poyizoni, amachepetsa msanga kuchuluka kwa shuga m'magazi.

Ngati munthu waledzera, zikuwoneka:

arrhasmia,
kukakamizidwa
migraines
nkhanza
mgwirizano wolakwika
kumva mantha akulu
njala
ambiri ofooka.

Ngati insulin ikulowetsedwa mwa munthu wathanzi, chithandizo chinanso chikuyenera kuyang'aniridwa ndi madokotala okha. Anthu nthawi zina amafa chifukwa cha mankhwala osokoneza bongo otere.

Monga lamulo, chikomokere chimakula mkati mwa maola 3-4 ndipo zomwe zimayimira zitha kuyimitsidwa ngati shuga alowa m'magazi.

Pochiza matenda a shuga, pamakhala chiopsezo cha mankhwala osokoneza bongo ambiri.Munjira imeneyi, pofuna kupewa imfa, thandizo loyenerera lofunikira likufunika. Ndikofunikira kudziwa zoyenera kuchita nthawi yomweyo ndi mankhwala osokoneza bongo ambiri.

Kukula kwa matendawa kumasokoneza kwambiri mankhwalawa komanso kumadzetsa ketoacidosis yovuta kwambiri.

Pankhaniyi, mungafunike kusintha mankhwalawo ndikuyamba kumwa mankhwala amphamvu.

matenda edema,
Zizindikiro za meningitis,
kutha msanga kwa matenda a dementia ndimavuto amisala.

Pakati pa anthu omwe ali ndi vuto la mtima, kuchuluka kwa insulini kungayambitse:

sitiroko
vuto la mtima
retinal hemorrhage.

Ngati wodwala ali ndi vuto, ndiye kuti muyenera kuletsa kudzera jakisoni kapena podya zakudya zopepuka. Zina mwazinthu zomwe mwalimbikitsa:

ma lollipops
chokoleti
mikate yoyera
zakumwa zoziziritsa kukhosi.

Chifukwa chiyani simungathe kubayira insulin kwa munthu wathanzi, chiwopsezo chake ndi chiani?

Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi? Funso limakhala nthawi zambiri kwa anthu omwe ali ndi chidwi. Kuti mupeze yankho loyenera la funsoli, muyenera kumvetsetsa zomwe timadzi timagwira m'thupi, momwe timapangidwira ndi kupukusira.

Funso la kulangizidwa pobayira jakisoni wa insulin limafunsanso kwa anthu omwe adapezeka kuti ali ndi matenda a shuga. Fomu yomwe mwapeza sifunikira jakisoni wowonjezera wa mahomoni. Mutha kuwongolera shuga m'magazi anu ndi zakudya.

Ma hormone aliwonse opanga amakhumudwitsa dongosolo la endocrine. lingaliro pakugwiritsa ntchito kosalekeza limapangidwa ndi adotolo, kuzindikira ndikuwunika zonse zomwe zingachitike chifukwa cha mankhwalawa.

Insulin ndi mahomoni ofunikira omwe ntchito yake yofunika ndikuphwanya chakudya. Ngati mankhwalawa sakwanira mthupi, ndiye kuti glucose amadziunjikira m'magazi, kukhala ndi zotsutsana ndi thanzi la munthu. Kupeza kamodzi kokha m'mwazi kapena mkodzo sikutanthauza kukula kwa matenda ashuga, koma munthu ayenera kusamala kale.

Nthawi zambiri, kuchuluka kwa shuga kumawonjezeka kwambiri mwa amayi apakati, shuga ya gestational imakula. Njirazi zimalumikizana ndi kusowa bwino kwa mahomoni m'thupi la mkazi wonyamula mwana.

Ziwalo zonse zamkati zimavutika ndi katundu wochititsa chidwi, kapamba sangathe kuthana ndi ntchito zake, insulin siyipangidwe moyenera. Zizindikiro zimatha msanga mwana akangobadwa.

Gwiritsani ntchito zakudya zama carb zochepa panthawi imeneyi, osakhala ndi zotsatirapo zoyipa kwa mayi ndi mwana. Kupaka insulin yoyembekezera sikulimbikitsanso. Popita nthawi, thupi lidzazolowera kuti mahomoni amachokera kunja, sizingawapange iwo mwachilengedwe. Mwanjira imeneyi, odwala matenda a shuga amapezekadi.

Ngati munthu wathanzi akapatsidwa mlingo wa insulini, zimakhala zovuta kulosera momwe thupi lingachitire ndi izi. Kuyesa sikuyenera.

Ngati mahomoni opanga amalowa kamodzi, ndiye kuti thupi limazindikira kuti ndi poizoni, ndipo zizindikiro za kuledzera kwambiri zimatulukira.Mankhwala othandizira pakhungu nthawi zina amafunikira, kutsuka m'mimba ndi matumbo kuti achotse zizindikiro za poizoni.

Mawonekedwe a mkhalidwe uwu ali motere:

Kusanza, kusanza,
Zofooka zambiri
Chizungulire, kusakhalitsa kwa chikumbumtima.
Mutu waukulu
Kuuma ndi kukoma koyipa mkamwa.

Ngakhale kuti thupi mwanjira iliyonse limapereka chidziwitso kuti ntchito yake ndi yoperewera, insulin imayamba kugwira ntchito, imaphwanya glucose, ndipo kuchuluka kwa shuga kumatsikira pazofunikira kwambiri. Zizindikiro zofananazi zimachitika mwa ana omwe ali ndi acetonemic syndrome.

Njira imodzi yochizira ndikumagulitsa mwana ndi njira yothetsera shuga. Njirayi itha kugwiritsidwanso ntchito kubwezeretsa nyonga mwa munthu wathanzi yemwe adalowetsedwa ndi insulin.

Kubwezeretsa shuga m'magazi kumatenga masiku opitilira tsiku limodzi, koma thanzi lathunthu limasintha mwachangu.

Tsopano timvetsetsa zomwe zingachitike ngati insulini iperekedwa kwa munthu wathanzi labwino. Mankhwala osokoneza bongo a bongo nawonso ndi oopsa kwa odwala matenda a shuga.

Zina zofunikira ndi izi:

Mtundu wa makonzedwe ali mu minofu kapena mafuta onunkhira,
Kulemera kwa munthu
M'badwo wake.

Gawo limodzi la insulini limachepetsa kuchuluka kwa shuga m'magazi a munthu wamba mpaka 8 mmol / L. Ngati mukulowetsa mlingo waukulu panthawi, ndiye kuti izi zimapangitsa kuti mukhale ndi vuto la kufera kwa magazi komanso kumwalira kwa wodwalayo; kuyesa motere ndi koletsedwa. Mphamvu ya insulin yokumba pathupi la munthu wamba siyikudziwika bwinobwino.

Madokotala sanadziwebe zonse zomwe zimayambitsa komanso zofunikira zoyambitsa matenda opatsirana a shuga, chifukwa chake ndizosatheka kugwiritsa ntchito insulin popanda mankhwala a dokotala.

Ngati insulini imaperekedwa kwa munthu wathanzi pamiyeso yaying'ono ndipo nthawi zambiri, zitha kupezeka kuti kapamba sangachite ntchito zake. Mlingo wa mahomoni m'thupi uchulukitsidwa, ubongo umapereka chisonyezo kwa kapamba kuti aletse kupanga izi, koma jakisoni atasiya, gawo la dongosolo la endocrine limasokonekera.

Ndi kusowa kwa insulini, kuchuluka kwa shuga, shuga imayamba.

Nthawi zina, pakumayambitsa matenda oyamba, madokotala amathamangira kukapereka mankhwala othandizira insulin, koma izi sizingachitike mpaka matenda atatsimikiziridwa. M'mitundu ina ya matenda ashuga, jakisoni wa insulini nthawi zonse amasankha.

Mutha kuwongolera ndikusintha kuchuluka kwa glucose wanu ndi zakudya zamafuta ochepa. Zimakhala zovuta kuti wodwalayo azolowere moyo watsopano, koma samadwala chifukwa cha zovuta zoyambira ndi zotsatira za kayendetsedwe ka mahomoni kosalekeza.

Madokotala amakono amavomereza kuti kuyamba kwa mankhwala a insulini kuyenera kuchedweratu. Izi zikugwirizana ndi mtundu wachiwiri wa chitukuko cha matendawa, omwe amapezeka mwa anthu opitilira zaka 35. Matenda a shuga a Type 1 nthawi zonse amathandizidwa ndi insulin.

Osati nthawi zonse kuchuluka kwa shuga m'magazi kumawonetsa matenda a shuga. Kuti mudziwe zamtunduwu, ndikofunikira kuchita kafukufuku wambiri, kuyezetsa osati shuga wamagazi, komanso kulekerera kwa glucose, kuyang'anira kuwuka ndi kugwa kwa chizindikirocho tsiku lonse. Munthu wathanzi sayenera kubayira insulin popanda umboni wachindunji.

Mkhalidwe womwe munthu agwera pambuyo poti mlingo wa mahomoni uli wofanana ndi kuledzera, koma sizingatheke kudziwa kukhalapo kwa zinthu zoletsedwa m'magazi.

Masewera owopsa oterewa ndiofala padziko lonse lapansi. Mu achinyamata, jakisoni wopitilira insulin amakhala ndi zotsatirapo zoyipa. Thupi likakhala kuti likukula, ziwalo zamkati sizinapangidwe kwathunthu, ndizosatheka kwenikweni kusokoneza ntchito zawo m'njira zosiyanasiyana.

Achinyamata omwe "amachita" mwanjira imeneyi amakhala pachiwopsezo chakugwa, akumwalira. Ngakhale zitakhala kuti izi sizingachitike, achinyamata amakhala pachiwopsezo chotenga matenda osachiritsika. Ndicholinga cha makolo ndi okondedwa awo kuti afotokozere za ngozi za zosowa komanso zosangalatsa zosayenera.

Chimodzi mwazotsatira zoyipa zoperekera insulin kwa munthu wathanzi ndi hypoglycemic coma. Amakula motsutsana ndi maziko a dontho lakuthwa komanso lakuthamanga kwambiri mu mulingo wa shuga mthupi motsika kwambiri.

Matendawa amakula pakapita mphindi zochepa. Poyamba, munthu amatha kudandaula chifukwa cha kupweteka kwambiri kwa mutu komanso chizungulire, kenako amataya mwadzidzidzi ndipo sizotheka kumubweretsa.

Thupi lathu limafunikira chakudya, limapereka mphamvu, komanso "kudyetsa" maselo aubongo. Mu mkhalidwe wa hypoglycemic coma, shuga wamagazi ndi ochepa.

Pakukomoka, ziwalo zofunika zimagwira ntchito pazocheperako mphamvu, ndipo maselo ena a muubongo amafa kwathunthu. Wodwalayo akamachotsedwa mu vutoli, zotsatira zoyipa zomwe amakhala nazo.

Mutha kuthamangitsa munthu pakoma poyambira shuga nthawi yomweyo. Ndikofunika kuti muchite izi kudzera m'mitsempha, ngati izi sizingatheke, njira zonse zomwe zapezeka zimagwiritsidwa ntchito. Mu milandu 90%, izi zimapereka zotsatira zabwino.

Ngati wodwala sachira kapena ali ndi zododometsa zamitsempha yamagetsi - kusokonezeka m'malo, kusokonezeka kwa malingaliro, kukhudzika, ndiye kuti kuchipatala kwachangu kumafunikira.

Mobwerezabwereza makonzedwe a insulin pambuyo pa vuto la hypoglycemic amapha wodwala yemwe alibe matenda a shuga. Magazi a magazi amafunika kukhazikika. Kwa izi, kwa masiku angapo chizindikirochi chimayang'aniridwa nthawi zonse.

Ndi zoletsedwa kupereka insulin kwa munthu wathanzi, mosasamala kanthu za mtundu wake, njira yoyendetsera. Izi zili ndi zovuta komanso zotsatilapo zathanzi. kuchuluka kwa mahomoni kumabweretsa zovuta za endocrine.

Gurvich, M.M. Zakudya za matenda a shuga mellitus / M.M. Gurvich. - M: GEOTAR-Media, 2006. - 915 p.
Neymark M.I., Kalinin A.P. Perioperative nyengo in endocrine surge, Medicine - M., 2016. - 336 p.
Vasyutin, A.M. Bweretsani chisangalalo cha moyo, kapena Momwe mungachotsere matenda ashuga / A.M. Vasyutin. - M: Phoenix, 2009 .-- 181 p.

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.