Ngati magazi a insulin adakwezedwa, zimatanthauzanji?

Kupanga kwa insulin kumapangidwa ndi kapamba kuti abweretse kuchuluka kwa shuga mthupi la munthu.

Hemeni ya insulin imapangidwa ndi maselo a pancreatic beta.

Hormone ya polypeptide iyi ndiyofunikira pakugwira bwino ntchito kwa ziwalo zonse ndi machitidwe.

Zogwira ntchito zake zimaphatikizapo:

kupatsidwa kwa amino acid ndi potaziyamu kumaselo amthupi.
kutenga nawo mbali njira yowonjezera minofu.
chimatumiza shuga obwera kuchokera ku madzi a m'magazi kupita ku maselo ndi minofu ya thupi.
zimathandizira kukonza ndi kuwongolera kagayidwe kazachilengedwe.
amatenga gawo limodzi pakupanga mapuloteni ndi lipid metabolism.

Nthawi zambiri, insulini ya mahomoni iyenera kukhala mu thupi la munthu pamlingo kuyambira 3 mpaka 20 μU / ml. Kuti mupeze zambiri zolondola, kafukufuku wofufuzira amachitika mu mawonekedwe a kusanthula kwa madzi am'magazi pamimba yopanda kanthu.

Ngati njirayi imagwiritsidwa ntchito masana, Zizindikirozo sizingakhale zolondola, zomwe zimagwirizanitsidwa makamaka ndi zakudya. Amadziwika kuti akadya chakudya, pamakhala kuchuluka kwa shuga m'magazi a plasma, chifukwa chomwe chitsulo chimayamba kupanga mahomoni kuti azitha kuyendetsa shuga omwe akubwera.

Mwana alibe zotere, ana amatha kuwunikira nthawi iliyonse. Kuwonjezeka kwa insulin yamagazi kumayamba kuonekera mwa achinyamata, omwe amakhudzana makamaka ndi kutha msinkhu.

Kupenda kuchuluka kwa mahomoni omwe amapangidwa amafunikira kuti ayesetse momwe magwiridwe am'mimba amapangidwira. Kupatuka pamlingo wabwinobwino kumatha kuwonetsa ndikulankhula za kukhalapo kwa matenda kapena zovuta zina pakugwira ntchito kwa ziwalo zamkati ndi machitidwe a thupi la munthu. Nthawi yomweyo, mosasamala kanthu pakupanga ma insulin, zomwe siziyenera kukhala zochepa kapena zapamwamba kuposa zomwe zimakhazikitsidwa. Zambiri zopanda pake zimawonetsa kuchepa komanso kuchuluka kwa ma insulin.

Mu labotale, munthu amatha kuchita chimodzi mwazoyesa kuti adziwe komanso kupezeka kwa zopatuka:

Kuyesa kwa magazi kuchokera mu mtsempha kapena chala.
Kuleza mtima poyeserera.
Kuzindikira kuchuluka kwa maselo ofiira a m'magazi - kusanthula kwa hemoglobin wa glycated.

Kafukufuku waposachedwa ndi njira yothandiza kwambiri yofufuzira, popeza sizitengera moyo wa wodwala.

Zifukwa zosamukira kuzidziwitso zokhazikika

Zinthu zosiyanasiyana komanso moyo wa munthu umapatsa plulin ya insulin yambiri.

Kuchuluka kwa insulini m'thupi kungayambitse matenda osiyanasiyana.

Chimodzi mwazifukwa zakuchuluka kwa insulin mthupi limatha kukhala pancreatic hypersecretion.

Zomwe zimapangitsa kuti insulin iwonjezeke m'magazi ndizomwe zimawonetsa zotsatirazi:

Munthu amadya maswiti ambiri komanso zakudya zomwe zimakhala ndi mafuta osavuta. Ndi chakudya chopanda malire chomwe nthawi zambiri chimayamba chifukwa cha kapamba yemwe amapanga insulin yambiri.
Zomwe zimapangitsa kuti insulin iwonjezeke ingaphatikizepo kutsatira zakudya zowonjezera, kumenyedwa kwanthaŵi yayitali.
Kuchita masewera olimbitsa thupi mopitirira muyeso komanso kuchita masewera olimbitsa thupi kwambiri.
Mankhwala ena omwe anthu amamwa, kuphatikizapo mapiritsi olengeza bwino, ndi mapiritsi azakudya.
Kutopa kwakam'mutu, zochitika zodetsa nkhawa sizimangopangitsa kuti insulin m'magazi iwonjezeke, komanso amathanso kuyambitsa matenda osiyanasiyana, kuphatikizapo matenda ashuga.
Kulemera kwambiri komanso kunenepa kwambiri kumathandizira kuti muchepetse kuyamwa koyenera kwa mafuta komanso kusungidwa kwa zakudya zamagulu, zomwe zimapangitsa kuti zikondamoyo zizigwira ntchito mopitirira muyeso, zimapangitsa magazi kulowa.
Mwa akazi nthawi yoyembekezera.
Zovuta pakugwira ntchito kwa pituitary ndi adrenal cortex.
Njira zina za pathological zomwe zimachitika m'chiwindi.
Kuchuluka kwa insulini m'magazi kungasonyeze kuchuluka kosakwanira kwa kufufuza zinthu ndi mavitamini m'thupi. Choyamba, izi zimagwira pa vitamini E ndi chromium.

Njira zina za m'magazi ndi zotupa zimatha kupitilira zizindikiritso za mahomoni. Nthawi zambiri, insulin imachulukitsidwa ndikukhazikika kwa ma pathologies osiyanasiyana a impso ndi adrenal glands, mawonekedwe a neoplasms mu ziwalo zam'mimba, komanso zotsatira za matenda osiyanasiyana.

Dziwani kuti ngati matenda monga matenda a shuga awonekera, mwina akhoza kukhala ndi insulini m'mwazi. Vutoli limapezeka m'magulu azachipatala lodziwika kuti kukana insulini - njira yomwe kumachepetsa chidwi cha mahomoni pamaselo a ma cell, chifukwa chomwe kapamba amayenera kutulutsa zochuluka kwambiri.

Zizindikiro ndi mawonekedwe a insulin yowonjezereka m'magazi

Nthawi zambiri kuwonetsedwa kwa zizindikiro mumagawo ake oyamba, munthu amatha kunena za kupezeka kwa kupsinjika ndi mikangano yosalekeza kunyumba kapena kuntchito. Choyamba, zizindikiro zotere zimaphatikizapo kufooka kwa thupi, kutopa ndi kuchepa mphamvu. Kuphatikiza apo, zovuta zovuta kukumbukira zambiri zazidziwitso zimayamba kuwoneka, kulephera kwakukhazikika.

Tiyenera kudziwa kuti zizindikiro zowoneka za kuchuluka kwa mahomoni zimatha kukhala mu mawonekedwe a kugwidwa kwa minofu yam'munsi, kuchuluka kwa thukuta, komanso kuvuta kupuma. Mphamvu ya kupuma imayankha insulin yochuluka kwambiri ngati yapumira pang'ono, yomwe imachitika ngakhale pang'ono.

Muyeneranso kuyang'anira chidwi chowonjezeka, chifukwa ngati insulin iwonjezereka, pamakhala njala yokhazikika.

Nthawi zina mavuto osiyanasiyana akhungu amatha. Izi, monga lamulo, zimadziwonetsera ngati mawonekedwe totupa pakhungu, redness kapena kuwoneka mabala omwe ndiovuta kuchiritsa.

Mochulukirapo, zizindikiro za kuchuluka kwa insulin m'magazi zitha kuwoneka ngati kusokonezeka kwa tulo kapena mavuto ndi impso.

Zizindikiro zilizonse zowonjezera za insulin ziyenera kukhala chifukwa chochezera katswiri wa zamankhwala ndikuwunika. Mu magawo oyambilira awonetsero wawo, ndizotheka kuti muchepetse kukula kwa matenda osiyanasiyana ndi kusokonezeka mu ntchito ya ziwalo zambiri zamkati ndi machitidwe.

Chithandizo chowonjezeka cha insulin m'magazi chiyenera kuyikidwa ndi dokotala, chifukwa cha zomwe zimayambitsa kupatuka.

Zovuta zomwe zingachitike mthupi

Kuchuluka kwa insulini kumatha kubweretsa zotsatirapo zosiyanasiyana zoyipa ndi zovuta m'mthupi.

Matendawa amatha, ndikuwonetseredwa kwa nthawi yayitali, angayambitse matenda akulu kwambiri.

Choopsa chachikulu ndikuwonjezereka kwake, komwe kumayamba chifukwa cha chiwonetsero cha insulin.

Pankhaniyi, chiwopsezo cha zovuta zotsatirazi zaumoyo chikukula:

Kusintha kwa glucose kukhala mafuta m'thupi kumathandizira. Ndiye kuti, shuga omwe akubwera sasinthidwa kukhala mphamvu, momwe ziyenera kukhalira ndi zodziwika bwino za mahomoni. Zotsatira zake, mwayi wambiri kunenepa kwambiri komanso kunenepa kwambiri kumakulanso.
Zotsatira zoyipa pamitsempha yamagazi ndi kuchuluka kwa kuthamanga kwa magazi, komwe kumayambitsa matenda oopsa komanso matenda ena a mtima.
Ndi magwiridwe antchito a thupi, glucose onse obwera motsogozedwa ndi insulin amagawidwa m'maselo ndi minyewa yonse. Ngati pali insulin resistance syndrome, kaphatikizidwe ka glucose kamasokonekera, komwe kumapangitsa kuti magazi ake azikhala ochepa komanso omwe amayambitsa matenda ashuga. Kuphatikiza apo, kuphwanya malamulo kumeneku kumakhudza ntchito ya chiwindi, zomwe zimachulukitsa katunduyo pa chiwalo.
Ndi kuchuluka kwa insulini, kuphwanya shuga wa mtima ndi minofu ya mtima ndikotheka, komwe nthawi zambiri kumadziwonetsera ngati matenda a ischemic.

Kuphatikiza apo, kukula kwa insulin kukana kumatha kuwononga ubongo ndikuwongolera kukula kwa ma process a neurodegenerative.

Momwe mungachepetse insulin yayikulu?

Dokotala wanu angakulamulireni mankhwala ena kuti achulukitse kuchuluka kwa insulin.

Tiyenera kukumbukira kuti mankhwalawa ndi gawo limodzi chabe la chithandizo chokwanira, ndipo popanda kutsatira zakudya ndi zolimbitsa thupi, zotsatira zake sizingatheke.

Ichi ndichifukwa chake, mankhwala onse omwe mumalandira ayenera kuphatikizidwa ndi moyo wolondola komanso wogwira ntchito.

Mankhwala akhoza kukhala ndi awa:

mankhwala a hypotonic omwe amathandizira kuchepetsa chiopsezo cha matenda a stroke kapena kugunda kwa mtima, kuchuluka kwawo kumaphatikizapo othandizira calcium ndi ACE zoletsa,
kuphatikiza mankhwala omwe amachepetsa zigawo za metabolic, kukonza shuga wa m'magazi ndikuthandizira kuchuluka kwa insulin,
kugwiritsa ntchito ma enzymes omwe amakhudza kuchepa kwa lipid, awa ndi oyamba kwambiri, ma serotonin inhibitors.

Ngati, malinga ndi zotsatira za mayeso, pali kuchuluka kwa insulini ndi shuga pang'ono, mwina, chithandizo kuchipatala chidzafunika.

Zambiri zomwe zimapangitsa insulini kukhala zodabwitsa kudzera m'njira zosiyanasiyana zomwe mankhwala azikhalidwe amapereka. Ichi ndiye, choyambirira, ndi decoction wa stigmas chimanga, kulowetsedwa kwa yisiti kapena tiyi wopangidwa kuchokera ku mbewu za mpendadzuwa.

Kuphatikiza zakudya zomwe zili ndi mahomoni ochulukirapo kuyenera kutsagana ndi chakudya kangapo patsiku, koma m'magawo ang'onoang'ono. Zakudya zoletsedwa ndizophatikizira mchere, maswiti, confectionery, ndi zinthu zophika, komanso kuchepera kwa mafuta, okazinga, kapena zakudya zonunkhira.

Maziko ake azikhala azitsamba, zamasamba atsopano, nsomba zamafuta kapena nyama. Ndikofunikira kuti muzisamalira chakudya chokwanira chakumwa masana. Madzi ochepa osakhala ndi kaboni, zakumwa za zipatso zosamwa kapena zipatso zakumwa, tiyi wobiriwira kapena msuzi wa rosehip ndi abwino monga zakumwa.

Tiyenera kukumbukira kuti ngati insulini yamagazi imakwezedwa, monga momwe zizindikiro zingapo kapena zotsatira zoyeserera zingasonyezere, siziyenera kukhala zodzilankhulira zokha. Chochita chofunikira kwambiri ndikulankhula ndi dokotala. Katswiri wazachipatala azitha kufotokoza chifukwa chake panali kuwonjezeka kwa mahomoni, zomwe zikutanthauza kuti insulini yayikulu, zomwe zimatsogolera ndi zomwe zikufunika kuchitika. Ngati matenda aliwonse apezeka, amupereka mankhwala oyenera.

Zomwe zimapangitsa kuchuluka kwa insulin m'magazi kufotokozedwa ndi katswiri muvidiyoyi.

Limagwirira aimpso glucose amatenga

Zimayambitsa kuphwanya kwamphamvu dongosolo la glucose: poyambirira, matenda a autoimmune omwe amayamba chifukwa cha kusowa kwa mapuloteni a pancreatic protein. Izi zimadzetsa kuti glucose yemwe amalowa m'magazi samalowa mu khungu, chifukwa ma cell a insulin alibe chilichonse choti angayambitse.

Mwanjira ina, pali kuchepa kwa chidwi cha masanjidwe oyanjana nawo, ndipo ngakhale ndi kuchuluka kwa insulini m'magazi, mwayi wopezeka mu cell sutsegulidwanso.

Zoyambitsa Hypoglycemia

Zitha kukhala zododometsa, koma insulini yayikulu imapangitsa kuti mafuta azikhalapo mosalekeza, imathandizira kupezeka kwa glucose (glycogen) m'chiwindi. Timadzi timeneti timakhudzanso kutulutsa kwa glucose kochitidwa ndi minofu ya minofu.

Ndi kusachita ntchito komanso kusowa kwa minofu kupsinjika - kufunika kwa mphamvu kumachepa. Ndipo pazifukwa izi, minofu yamafuta imayamba kupambananso minofu yamafuta (mafuta a minofu atrophy).

Kodi kukweza insulini m'mwazi kumatanthauza chiyani? Kuchuluka kwa mamolekyulu a insulin kumadalira kwambiri kuchuluka kwa shuga m'mitsempha yayikulu yamitsempha. Ndi kuvutitsidwa kwa chakudya chama carbohydrate (makamaka chakudya champhamvu kwambiri - zotsekemera, ufa, mowa), kapangidwe kake kamawonjezereka.

Kudya shuga pafupipafupi kumabweretsa ntchito yayikulu yama cell a pancreatic ndipo kumadzetsa insulin yambiri mthupi. Palibenso nthawi yopumula yogulitsa ziwalo - pang'onopang'ono ma cell a ma cell (Langerhans), omwe amapanga insulin yambiri poyamba, siyani kugwira ntchito molondola kapena osapereka mahomoni konse.

Mofananamo, chidwi cha insulin receptors chimachepa, ndipo ngakhale ndi kuchuluka kwambiri kwa timadzi m'magazi, njira zopangira shuga zimatseguka. Zomwe zimayambitsa mphamvu za njala.

Pofuna kubwezeretsa chidwi chathu ziyenera kuletsa shuga kulowa mthupi kwakanthawi. Komabe, kusapezeka kwa glucose kudya ndi chakudya kumakhudza kwambiri kagayidwe ka lipid komanso kuchepa kwa mafuta m'thupi.

Ngati insulin ili pamwamba kwambiri, imalepheretsa kuwonongeka kwa minofu ya adipose.

Kulemera kwambiri kwa insulin nthawi zambiri kumagwirizanitsidwa ndi zakudya zamafuta. Hormone yowonjezera imatha kuchitika chifukwa cha njala, kuchita masewera olimbitsa thupi mopitirira muyeso, kumwa mankhwala ena, zinthu zovuta. Kuti mudziwe kuchuluka kwa mahomoni, muyenera kupereka magazi kuchokera m'mitsempha.

Amadziwika kuti ma insulin 2 patatha nthawi chakudya chitakwera kwambiri, chifukwa chake, kuti adziwe kuchuluka kwa insulini, nyemba iyenera kumwedwa pamimba yopanda kanthu. Pa kusanthula, magazi amatengedwa kuchokera m'mitsempha kawiri:

nthawi yoyamba - pamimba yopanda kanthu
Kachiwiri - patatha maola awiri wodwala atamwa gawo la shuga.

Zinthu zosiyanasiyana komanso moyo wa munthu umapatsa plulin ya insulin yambiri.

Kuchuluka kwa insulini m'thupi kungayambitse matenda osiyanasiyana.

Chimodzi mwazifukwa zakuchuluka kwa insulin mthupi limatha kukhala pancreatic hypersecretion.

Pali zifukwa zambiri zowonjezera kuchuluka kwa insulin m'magazi. Zitha kubweretsa kupsinjika, kuchuluka kwa thupi, kulephera kwa mahomoni, kenako kuchuluka kwa insulini kumabwereranso kwazomwe zimakhala bwino, kuchuluka kumakhala kwakanthawi.

Nthawi zambiri, kuchuluka kwambiri kumapezeka mwa anthu onenepa kwambiri, kenako kuchepa thupi kumathandizanso kuti insulini ikhale yachilendo. Komabe, pankhani iyi, njirayi nthawi zambiri imadalira kudalira mafuta, monga kuchuluka kwa insulin komwe kumayambitsa kuchuluka kwa mafuta, chizindikiro chodziwika ndichakuti chimadziunjikira kwambiri pamimba ndi m'mbali, ndipo kumverera kwa njala komwe kumayamba chifukwa cha kuchepa kwa glucose kumapangitsa kuti njira yochepetsera thupi ikhale yopweteka.

Chifukwa chake, ndikofunikira kumenyera osati kokha ndi kulemera kowonjezereka, komanso mavuto ndi kusalinganika kwa mahomoni.

Insulin yayikulu ikhoza kukhala chizindikiro cha mavuto akulu omwe alipo kale. Hyperinsulinism yoyamba imayambitsidwa ndi:

matenda a kapamba: kuchulukitsa kwa ma islets a Langerhans, masango a pancreatic omwe amapanga insulin ndi okonda glycogan,
zotupa zapancreatic zomwe zimagwira ntchito zama islets a Langerans, ndikupanga kuchuluka kwa insulin - insulinomas. Nthawi zambiri amakhala opambana,
utachepa kupanga glycogan.

Masewera a insulin akachuluka kwambiri m'thupi, matenda monga hypoglycemia amakula. Zizindikiro kuti munthu ali ndi insulin yokwanira kuposa zokhazikika zidzakhala motere:

oponderezedwa ndi okhumudwa.
kuchepa kwa chidwi,
kusokonezeka kwa kukumbukira
kulemera kumawonjezeka
kutuluka thukuta kwambiri
pakapita nthawi, kutopa kumakhala kosatha,
kupanikizika kumakula
kusowa tulo kumawonekera
kulephera kwa impso kumayamba
chifukwa cha kufooka kwa magazi, matenda amiyendo amatha kuyamba,
zotupa za sebaceous zimayamba kugwira ntchito mwamphamvu, motero zimasokoneza, ndipo seborrhea imayamba.

Ngati tirikunena za chiwopsezo chowonjezeka cha insulini m'mwazi wa amayi, ndikofunikira kudziwa kuti zoterezi zimapangitsa kuti mitsempha ipite patsogolo, ndipo izi zimaphatikizira kuchuluka kwa magazi. Kuwonongeka kwa magazi kumayambira kumabweretsa kuti ziwalo zamkati sizidyetsedwa mokwanira, zomwe zimatha kuyambitsa matenda am'munsi, chisokonezo chogona, khungu limakhala mafuta, ndipo kulephera kwaimpso kumayamba.

Ngati munthu ali ndi insulini yambiri, ndiye kuti izi zikuwonetsa kuti mtundu wina wa matenda umayamba m'thupi lake. Kutengera ndi zomwe zidapangitsa kuchuluka kwa insulini, hyperinsulinism yoyamba komanso yachiwiri imasiyanitsidwa.

Mchere wocheperako kapena wapamwamba kwambiri umawonetsa chiyambi cha chitukuko cha mtundu woyamba wa matendawa. Hyperinsulinism iyi imadziwikanso kuti pancreatic, mwanjira iyi, chifukwa cha kuchuluka kwambiri kwa insulin ndikuphwanya kupanga kwa glucagon.

Zomwe zimayambitsa kuchuluka kwambiri kwa insulin pamene munthu ali ndi shuga athanzi amatha kukhala chifukwa cha chotupa cha kapamba kapena kuchepa kwa kupanga kwa glucagon.

Ngati shuga ndi wabwinobwino, hyperinsulinism yachiwiri ikhoza kuyamba kukula. Pankhaniyi, imadziwika ndi mahomoni ochulukirapo monga somatotropin ndi corticotropin, gulu la zinthu la glucocorticoid, komanso kuwoneka kosokoneza pakugwira ntchito kwamanjenje.

Ambiri samangodziwa yankho la funsoli - kuchuluka kwa insulin m'mwazi, izi zikutanthauza chiyani, komanso zomwe zimayambitsa njirayi.

Choyamba, chakudya chosakonzedwa bwino chimatha kukhala chopweteketsa mtima.

Chifukwa chake, kuchuluka kwa ufa wambiri, chakudya chamafuta kumapangitsa kuti magazi azikhala ndi insulin. Komabe, izi zimagwiranso ntchito pakumakhala ndi njala nthawi zonse, zomwe sizimakhudzanso zochita zathupi. Ponena za zakudya, ndikufuna kudziwa zina zomwe zingathandize kukonza thupi:

Zakudyazi zizipangidwa mwanjira yoti izitha kupatula njala kapena kudya kwambiri,
Ndikulimbikitsidwa kwambiri kudya osachepera kanayi komanso osapitirira kasanu ndi kamodzi patsiku. Nthawi yomweyo, zokhwasula-khwasula ziyenera kuphatikizidwa mumenyu,
amadya bwino nthawi imodzi-modzi kuonetsetsa kuti thupi likukwanira bwino. Izi sizingakuthetsereni kutsika kapena kukankhira kusintha kwa insulin m'mwazi.

Kuchita masewera olimbitsa thupi kosatha ndi chimodzi mwazinthu zomwe zikuwonjezera kuchuluka kwa mahomoni. Kupsinjika kwa mitsempha pafupipafupi komanso kupsinjika kumapangitsanso insulini m'magazi.

Komabe, akatswiri akukhulupirira kuti chofunikira ndicho kunenepa kwambiri kwamunthu - izi ndizofunikira kumvetsetsa kuti mudziwe momwe mungachepetse kuchuluka kwa insulin m'magazi. Chowonadi ndi chakuti cholozera chochulukirapo cha thupi chimatsogolera pakuchedwa kuyamwa kwamafuta, kukakamira mphamvu kwakanthawi.

Chifukwa chake, izi ndi zomwe zimakhudza kuchuluka kwa magazi, komwe kungayambitse kulephera kwa impso.

Kuchita insulin pafupipafupi m'magazi kungasinthe kuchuluka kwa vitamini E ndi chromium. Pankhani imeneyi, sikuti zimatheka nthawi ndi nthawi, komanso ndikofunikira kugwiritsa ntchito mankhwala othandizira omwe angapangitse kuti awonongeke, kuti athetse kufooka.

Mwachitsanzo, mutatenga ndalama zomwe zimaphatikizapo vitamini E ndi chromium, thupi la munthu limakwaniritsa zolinga zingapo nthawi imodzi. Tikuyankhula za kuthekera kolimbitsa ma membala am'mimba, ndipo maselo akuyamba kuwonetsa kukana kwa oxidation ndi mtundu wamafuta.

Malinga ndi izi, kupanga kwa mahomoni opangira mafuta kuchepa kumachepetsedwa.

Kuphatikiza pa zonsezi, tiyenera kukumbukira kuti kuchuluka kwa insulin m'mwazi mwa anthu kumatha kudzetsa ena matendawa.

Munthu yemwe amadya maswiti ambiri ndi chakudya chamafuta, motero amachulukitsa insulin. Komanso chifukwa chabwino chimatha kukhala ngati chakudya chosatha. Chifukwa chake, chakudyacho chimayenera kumangidwa kuti munthu asamakhale ndi njala nthawi zonse. Izi zikutanthauza kuti muyenera kudya 4-5 pa tsiku, kuphatikiza zopepuka. Muyenera kudya pafupipafupi.

Kuchita zolimbitsa thupi mosalekeza ndi chimodzi mwazifukwa zakuchuluka kwa insulini. Mantha komanso nkhawa.

Komabe, chifukwa chachikulu ndi kunenepa kwambiri. Kunenepa kwambiri kumayambitsa kuyamwa pang'ono kwa mafuta ndi kupulumutsa mphamvu. Izi zimathandizanso kuti magazi aziyenda bwino komanso kuti impsozo zilephera.

Insulin m'magazi imatha kukweza kusowa kwa vitamini E ndi chromium. Chifukwa chake, nthawi ndi nthawi ndizotheka ndikumwa mankhwala omwe amapanga kuti awonongeke. Kumwa mankhwala okhala ndi Vitamin E ndi chromium, thupi la munthu limalimbitsa ma membala am'mimba, ndipo maselo amakhala olimbana ndi oxidation wamafuta. Chifukwa chake, izi zimachepetsa kupanga kwa mahomoni kuti mafuta athe.

Insulin imakonda kuwonjezeka mwa iwo omwe amamwa maswiti ambiri ndi zakudya zomwe zimakhala ndi chakudya chamagulu ambiri. Ndi chifukwa ichi kuti ndi zinthu zosasangalatsa ngati kuchuluka kwa insulin, chidwi chimalipidwa makamaka pakumanga chakudya chokwanira.

Akatswiri amalangizidwa kuti asamadye zakudya zoyenera zokha, koma kudya magawo ang'onoang'ono komanso osachepera 4-5 patsiku. Ndikofunika kuti muzitsatira zakudya zapadera zomwe zimakhala ndi zakudya zopatsa thanzi komanso zopatsa thanzi zofunikira tsiku lililonse.

Zomwe zimapangitsa kuti insulin iwonjezeke nthawi zambiri imakhala yolimbitsa thupi kwambiri. Izi zimaphatikizanso kupsinjika mosalekeza, kuda nkhawa, mkhalidwe wamanjenje, womwe umakonda kwambiri akazi.

Kuperewera kwa vitamini E komanso chinthu china monga chromium kumawononga thupi, pazizindikiro za insulin m'magazi. Zikatero, mufunika kumanganso chakudya chanu m'njira yoti zithandizire kuchepa kwa zinthuzi.

Mutha kuthana mwachangu komanso moyenera vuto la mapulani otere mothandizidwa ndi kukonzekera kwamakono kwa vitamini. Kubwezeretsanso kwa vitamini E ndi chromium mthupi kumathandizira kulimbitsa ziwalo zam'mimba, komanso kukulitsa kukana kwawo mafuta oxidation.

Izi zimapangitsa kupangika kwa insulin komanso kuwonongeka kwamafuta.

Mlingo wa insulin kwa akulu ndi ana

Matenda a mahomoni mu mwana (mpaka zaka 12) amasiyana ndi chikhalidwe cha munthu wamkulu - 20 mkU / l. Ndende yotsika kwambiri mwa ana ndi 3 μU / L.

Mwa achikulire ndi achinyamata azaka 12, chizindikiro chofananira ndi 25 mcU / l.

Kuchuluka kwa insulin kumayesedwa ndi kuyesedwa kwa magazi, komwe kumachotsedwa kuchokera ku chala pamimba yopanda kanthu. Palinso lembedwe pankhani yololera shuga. M'mawa pamimba yopanda kanthu, wodwalayo amapatsidwa kapu yamadzi yotsekera shuga. Pakapita kanthawi, amatenga magazi, kudziwa kuwunikako pambuyo pa mphindi 60-90-120.

Mlingo wa timadzi titha kutsimikiza mwa kupenda glucose m'mwazi pogwiritsa ntchito chipangizo chanyumba - glucometer. Kutengera mulingo wa shuga, kuchuluka kwa insulin kungaganiziridwe. Pa shuga 5.5, wotsika kapena wopanda ntchito. Ndi shuga wambiri 3,3 - yayitali.

Kuchepetsa thupi kapena kutsitsa shuga wamagazi ndikovuta kwambiri komanso kwanthawi yayitali kuposa kupewa. Ndikofunikira kuyeza glucose pafupipafupi, komanso nthawi ndi nthawi kutsatira zakudya zopewera.

Insulin yachilendo m'magazi a munthu wamkulu imakhala yamagulu 3 mpaka 25 μU / ml, mwa ana imatsika - kuyambira 3 mpaka 20. Ndipo kuchuluka kwamafuta m'magazi a mwana ndi chizindikiro chachikulu, chifukwa chimalankhula za mavuto omwewo monga Akuluakulu, koma pakapangidwa thupi, zotsatira zosasinthika zimatha kuchitika kale kwambiri.

Chifukwa chake, kuyimbira mwachangu kwa endocrinologist ndikuwunika kuyenera kukhala gawo loyamba lothandiza kusintha matendawa ndikuchiza matenda omwe adayambitsa kupatuka kwa mahomoni.

Zizindikiro za Hormone Yaikulu

Hyperisulemia sikuti imangokhudza kuphwanya kwamphamvu mu thupi, komanso imasintha kapangidwe ka magazi, kapangidwe ka mitsempha yamagazi, ntchito yamtima ndi ubongo. Zizindikiro pamene insulin ikwezedwa:

Kumverera kosaletseka kwa njala, mutakhuta, chodabwitsa chimatha kubwereranso. Ndipo pitilizani kuzungulira nthawi yonseyo.
Kuchokera kumbali yamanjenje - kufooka kwa minofu, kukokana, kusokonezeka kukumbukira ndi kuganiza. Kulakalaka kugona nthawi zonse. Kuzunza kwadzaoneni, zizindikiro za matenda a dementia.
Kuchulukitsa kwa kupsinjika.
Khungu lamafuta, tsitsi.
Kuchiritsa kwakutali kwa mabala, mabala.

Kuchuluka kwa insulini komanso kuchuluka kwa mafuta munthawi yamafuta osagwiritsidwa ntchito kumakhala chifukwa cha atherosulinosis yamatumbo - cholesterol "choyipa" chimamatira kukhoma la endothelium. Chifukwa chake, makhoma awo amasiya kukhala osalala, mapulateleti amakangamira pamapangidwe omwe alipo.

Sitimazo zimasweka, pang'ono kapena pang'ono. Kutaya ntchito yawo yoyendetsa maselo ammagazi otsala.

Zizindikiro zakuchuluka kwa insulin kumabweretsa malire pafupi ndi mtundu wa 2 shuga.

Kuwonjezeka kwa chizindikiro kumayambitsa hypoglycemia, popeza pakadali pano shuga amayamba kudyedwa kwambiri.

Zowonetsera zazikulu za izi:

kumverera kwa kukhumudwa
kukhumudwa
kusokonezeka kwa kukumbukira
idachepetsa chidwi.

Zizindikiro ziti zomwe ziyenera kumuchenjeza munthu, makamaka iwo onenepa kwambiri, kuti asaphonye kukula kwa mtundu wachiwiri wa matenda ashuga, chifukwa chakuti chizindikiro cha insulin chadutsa:

kutopa kosalekeza, thukuta kwambiri,
kupuma pang'ono, ngakhale kuchita zolimbitsa thupi pang'ono,
kupweteka kwa minofu, kukokana kwakanthawi m'miyendo,
kusowa satiety,
Khungu loyera, machiritso a bala.

Zizindikiro zomwe ziyenera kuchenjeza:

kumakhala ndi njala yosalekeza, mwina nthawi yonseyi,
kuthamanga ndi pafupipafupi,
tuluka thukuta,
kupuma movutikira, ngakhale pang'ono zolimbitsa thupi.
kupweteka kwa minofu ndi mwendo kukokana,
kuchiritsa pang'onopang'ono kwa abrasions ndi mabala ndi pafupipafupi kuyabwa.

Zizindikiro zonse zomwe zili pamwambazi ndizongokhala mwachindunji, koma malinga ndi iwo zitha kuganiziridwa kuti zomwe zili mu insulin zikukula, ndipo muyenera kuwona dokotala kuti mutsimikizire izi kapena mukutsutsa.

Kodi amadziwika bwanji?

Zikondazo zimatulutsa timadzi tambiri tambiri m'thupi. Kuchuluka kwa insulini m'magazi kudzatengera momwe limagwirira ntchito moyenera.

Zizindikiro zocheperako kapena zochulukirapo zitha kuwonetsa kutayika kwa kapamba.

Momwe mungakonzekerere ndi momwe mungaperekere kuwunikira?

Zotsatira za kusanthula kulikonse zitha kukhala zolakwika, makamaka ngati wodwalayo sanathe kukonzekera bwino.

Kuti mupeze chizindikiro cha insulin popanda zosokoneza, muyenera kutsatira malangizowo:

Pereka magazi kokha pamimba yopanda kanthu. Usiku wamaphunziro asanafike, ndikofunikira kuyesa kupatula zotsalira kuti zotsatira za kafukufuku zitheke. Njira yabwino ndikugwiritsa ntchito madzi okha kwa maola 8 musanatengere magazi.
Osangolimbitsa thupi kapena kuchita masewera olimbitsa thupi tsiku loti menyedwe.
Zakudya zopatsa mphamvu za shuga siziphatikizidwa muzakudya maola 20 musanawunikidwe.
Kwa masiku awiri musanatsutse magazi, chakudyacho chizikhala ndi menyu wokhoma.
Madzulo a phunziroli, mowa wina uliwonse uyenera kusiyidwa kwathunthu.
Kusuta kuyenera kuyimitsidwa osachepera maola 2 mayeso asanayesedwe.
Wodwala ayenera kukana chithandizo chamankhwala chomwe chitha kuwonjezera shuga, osachepera masiku awiri lisanachitike kusanthula. Mwachitsanzo, muyenera kusiya kumwa njira zakulera, glucocorticosteroids.

Kulondola kwa deta yomwe yapezedwa kumatsimikiziridwa ndikuwunika ndi katundu.

Pachifukwa ichi, magazi a wodwala amatengedwa kawiri:

kusala kudya kaye
Patatha maola awiri mutamwa njira ya glucose (mkamwa).

Kuphulika kwa mahormoni sikuti kumasokoneza zotsatira, kotero azimayi amatha kuyesedwa ngakhale m'masiku ovuta.

Kodi mankhwalawa amachitika bwanji?

Cholinga chothanirana ndi dokotala - endocrinologist imatha kukhala zizindikiro zotsatirazi: kusakhazikika, kusokonezeka kukumbukira, kulephera kukhazikika, kumangokhalira kutopa, kufulumira thupi, kuchepa magazi.

Ngati mabala sachiritsidwa kwa nthawi yayitali, ziphuphu zambiri zimawonekera, khungu limakhala mafuta, kusowa tulo kumawoneka, muyenera kulumikizana ndi madotolo, kuyezetsa magazi kwa shuga, onani insulini.

Kuchulukirapo kumaganiziridwa ngati mulingo wa mahomoniwo utaposa 3.5 mmol / L. Ngati pali insulin yowonjezereka m'magazi a azimayi, chithandizo chimalinga ndikuchotsa zomwe zimayambitsa izi. Kuti mudziwe zomwe zimachitika chifukwa cha kuchuluka kwa zinthu zofunika m'thupi, ndikofunikira kuti mumupimidwe.

Nthawi zambiri, zomwe zimapangitsa kuti insulin iwonjezeke mwa amayi zimagwirizanitsidwa ndi chotupa, momwemo chithandizo chokha ndi opareshoni.

Ngati thupi lili ndi insulini yowonjezereka, izi zimayambitsa kutsika kwa shuga ndipo pamakhala kuthekera kwakukulu kuti kuwukira kwa hypoglycemia kudzachitika.

Zikatero, wodwalayo amapaka jekeseni wa shuga m'mitsempha, njirayi iyenera kuchitidwa kuchipatala. Ngati wodwala ali ndi mawonekedwe owopsa a hyperinsulinism, ndiye kuti shuga amapatsidwa kwa iye kapena akhoza kukhala adrenaline.

Muyenera kudziwa momwe mungachepetse insulin yanu nokha, chifukwa mutha kuchita izi kunyumba. Kuti mukwaniritse izi, madokotala amalimbikitsa kutsatira zakudya zapadera ndikupatsa thupi ntchito zolimbitsa thupi, izi sizingakuthandizeni kuti mukhale ndi thupi lolemera. Ndikofunikira kuti muziwongolera kuchuluka kwanu komanso kupewa kuchulukana.

Chakudya chizikhala chopindika, muyenera kudya osachepera 5 pa tsiku, simungathe kudya zopitilira 150 g zamankhwala tsiku. Tiyenera kusiya malonda, omwe amaphatikizapo kuchuluka kwa chakudya cham'madzi. Pazakudya za wodwala wotere, phala la oatmeal ndi buckwheat liyenera kukhalapo, ndikofunikira kudya zinthu zopanda mkaka zopanda mkaka, masamba ambiri ndi zipatso, mazira, nsomba zamafuta ochepa.

Ndi insulin yowonjezereka, kudya mchere kumayenera kuchepetsedwa ndipo zakudya zomwe zimakhala ndi sodium yambiri siziyenera kudyedwa: zakudya zamzitini, masoseji, mitundu yosiyanasiyana ya zakudya zazing'ono, mtedza, zophera, etc.

Miyezi yambiri ya insulini yokhala ndi shuga wabwinobwino ndi zovuta zina zofananira ziyenera kuthandizidwa mwachangu. Izi zimalola kupatula mapangidwe azovuta ndi zotsatira zoyipa.

Musanafotokoze maphunziro okonzanso, ndikulimbikitsidwa kuti muzindikire chomwe chinapangitsa kuti pakhale vuto. Kutengera izi, akatswiri amapereka chithandizo chamankhwala choyenera, kuyambitsa zakudya zapadera kapena masewera olimbitsa thupi.

Insulin yayikulu, yomwe idadziwika kale m'magazi, imatha kuchepetsedwa pokhapokha ngati mumatsatira chithandizo choyenera ndikutsatira malangizo onse azachipatala.

Wodwala amatha kupatsidwa mankhwala omwe amachepetsa kuchuluka kwa insulin.Komabe, mankhwala okha sangathe kugawidwa ngati simugwiritsa ntchito zakudya komanso kuchita masewera olimbitsa thupi mwapadera kuti muchepetse insulin ina m'magazi.

Ndikufuna kusamalitsa kwambiri zakudyazo, zomwe zimaphatikizapo zakudya zosankhidwa bwino. Zinthu monga shuga sizipezeka mu chakudya cha wodwalayo.

Kuphatikiza apo, tisaiwale kuti pali zina m'malo mwa zomwe zaperekedwa - tikulankhula za zotsekemera, maralmallows otsika kapenanso zinthu monga marmalade. Gawo lofunika kwambiri pakudya kwachepetsa shuga liyenera kukhala likutsata chakudya cha anthu.

Zachidziwikire, siziyenera kupatulidwa kwathunthu, pomwe ndizolimbikitsidwa kuti zisankhidwe molondola ndikugawidwa muzakudya masana.

Kuchuluka kwa insulini m'mwazi kumatanthauzanso kuti kugwiritsa ntchito mchere ndikofunikira kuti muchepetse kapena ngakhale kuusiya.

Musanapereke mankhwala, ndikofunikira kuzindikira chifukwa chomwe chinayambitsa izi. Kutengera chifukwa, kupereka mankhwala, mankhwala azakudya ndi masewera olimbitsa thupi. Miyezi yokwanira ya insulin ikhoza kutsitsidwa ngati chithandizo choyenera chikutsatiridwa.

Odwala amatha kupatsidwa mankhwala omwe amachepetsa insulin. Koma simungachite ndi mankhwala ena pokhapokha mutaphatikiza zakudya ndi masewera olimbitsa thupi.

Chakudya chopatsa insulin chimaphatikizapo zakudya zosankhidwa bwino. Shuga ndi maswiti sayenera kukhalapo mukudya kwa wodwalayo. Pali choloweza m'malo ichi. Imatha kukhala okoma, ma marmmallows otsika ndi calorie. Gawo lofunika mu chakudya ndikuwunika kuchuluka kwa chakudya. Sikuti muwachotse kwathunthu, koma ndikofunikira kuti musankhe ndikugawa moyenera muzakudya za tsiku ndi tsiku.

Ngati insulini m'magazi iwonjezereka, ndiye kuti kugwiritsa ntchito mchere kuyenera kuchepetsedwa kukhala zero kapena zochepa. Pazakudya za wodwalayo, zakudya zomwe zimakhala ndi sodium sizololedwa kuti zidyedwe. Izi zimaphatikizapo zakudya zamzitini, zokhwasula-khwasula ndi soseji, zopaka zosiyanasiyana ndi mafuta amchere.

Mankhwala

Nthawi zambiri, 70% ya chakudya chamafuta amapita kuzosowa kwa maselo amthupi, 30% amasungidwa kosungirako. Koma ngati thupi likudwala kuchuluka kwa insulin, ndiye kuti 30% yokha ya mafuta omwe amagwiritsidwa ntchito ndi maselo, 70% amapanga mapangidwe a minofu ya adipose.

Maselo amachotsa ma receptor, siyani kuyankha mahomoni, motero glucose amayamba kudziunjikira m'magazi - mtundu 2 wa shuga wosadalira insulin umayamba. Kuwonjezeka kwa shuga m'magazi kumayambitsa kusowa kwamphamvu kwa thupi, komwe kumayambitsa kusokonezeka kwakukulu kwa metabolic, nthawi zina kumapha.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda a shuga a shuga, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya ku Russia Academy of Medical Sayansi idachita bwino