Ukumelana ne-insulin: yini ebangelwa?

Ukuphikisana ne-insulin akukuthinti kuphela i-metabolism yamandla kuphela, kepha kuthinta nokuqina kwamafutha namaprotheni.

Imiphumela engaba khona ibuye ibandakanye ukubonakaliswa kwezifo ezinjenge-atherosulinosis, ukushaya kwenhliziyo, noma ukuthuthukiswa kweziqalo zegazi emithanjeni yegazi.

I-insulin yokumelana ne-insulin inezimbangela zayo zokuthuthuka futhi ingaphansi kokwelashwa okuphoqelekile

Kuyini ukumelana ne-insulin?

Kuyini ukuqina kokuphikiswa futhi kuboniswa kanjani? Ekuhumusheni okungokoqobo, igama elithi "ukumelana ne-insulin" libhekisele ekungeneni kwamangqamuzana kuyi-insulin ye-hormone. Lesi simo somzimba womzimba siholela eqinisweni lokuthi amaseli awasabeli ekuphuzeni ama-hormone futhi awasebenzisi wona njengamandla we-energy.

Umphumela wale nqubo ukuthi i-glucose ayikwazi ukungena kumaseli nezicubu kanye nokukhula kancane kwe-hyperglycemia nesifo sikashukela kuyabonakala.

I-insulin ye-hormone iyadingeka ukuze umzimba womuntu uguqule futhi wehlise amazinga kashukela egazi. Futhi, wonke ushukela oza nokudla ukhulisa inani loshukela. Ama-pancreas "abona" ​​umthamo omusha we-glucose, uqala ukukhiqiza i-insulin ngesilinganiso esifanele. Inani lama-hormone akhiqizwayo kufanele lihambisane nenani likashukela olutholwe ngokudla.

Uma i-immune syndrome ikhona, ama-pancreas kumele akhiqize ama-hormone amaningi ukuze acindezele i-glucose kumaseli angaphenduli kahle ku-insulin.

E-terminology yezokwelapha, ukumelana ne-insulin kwezicubu kubizwa nangokuthi yi-metabolic syndrome, okuhlanganisa ukwephulwa kwazo zonke izinqubo ze-metabolic emzimbeni, ukukhuluphala, umfutho wegazi ophezulu, izifo ezahlukahlukene zesistimu yezinhliziyo nesifo sikashukela i-mellitus.

Izimbangela zokuphikisana ne-insulin

Izici eziningana zingathonya ukuthuthukiswa kwe-pathology, okuzibonakalisa ukwehla kokuzwela kwezicubu kwe-insulin. Lokhu kufaka phakathi:

1. Isizinda sofuzo kanye nefa eliyifa.
2. Ukudla okungafanele kanye nendlela yokuphila efanelekile. Lokhu kungafaka nokuntuleka kokuzivocavoca umzimba, ukuba khona kwemikhuba emibi.
3. Ukuthatha amaqembu athile ezidakamizwa.
4. Ukuphazamiseka kwe-Hormonal emzimbeni nokuphazamiseka ohlelweni lwe-endocrine.
5. Ukukhuluphala ngokweqile nokukhuluphala ngokweqile. Ubungozi obukhulu ikakhulukazi bokubekwa kwamafutha okhalweni, ngoba baba yisithiyo ekuboneni okuvamile kwe-insulin.

Ngaphezu kwalokho, kwenzeka ukuthi ukuncipha kokuzwela kwehomoni noma ukungasebenzi komzimba kungaba ngumphumela wokugula okufana ne-hypoglycemia ngohlobo 2 sikashukela. Kulokhu, isifo esinjalo sesikhashana futhi singadlula ngemuva kwesikhathi esithile.

Kuze kube manje, kunezifo ezimbalwa lapho ubungozi bokuthola i-metabolic syndrome bukhula khona. Okokuqala, lezi zifo zibandakanya:

• ukuncipha kwemali yesifo sikashukela sohlobo 1;
• ukuvela kwesifo sikashukela mellitus sohlobo lwesibili;
• uhlobo lwesifo sikashukela ketoacidosis;
• ama-pathologies ahlukahlukene wesistimu ye-endocrine - i-thyrotooticosis ne-hypothyroidism;
• ukubonakaliswa kwe-polycystic ovary syndrome;
• ukungazali kwabesifazane;
• ukuphakamisa njalo umfutho wegazi noma umfutho wegazi ophakeme.

Enye yalezi zinto ezingenhla, noma inhlanganisela yezindlela eziningana, ingadala ukumelana ne-insulin.

Ngabe i-Symbomatology ibonakaliswa kanjani?

Ngokuzimela khetha ukuthi ingabe kukhona ukungabinaki i-insulin, ukugxila empilweni yabo cishe akunangqondo. Kungcono ukwenza izivivinyo zokuxilonga ezidingekayo esikhungweni sezokwelapha futhi uphumelele izivivinyo ezidingekayo.

Futhi kuzosiza ukucacisa izinga le-cholesterol "embi" ne "enhle".

Izimpawu eziphambili ezingasayina ukuthi kukhona ukumelana ne-insulin zingavela ngendlela:

• ukukhuluphala njalo kwesisindo, ukukhuluphala, okuqapheleka okhalweni;
• indlala ehambisana nosuku, ukungakwazi ukuthola okwanele;
• ukuqhakaza nezinkinga zokugaya ukudla, eziba zimbi kakhulu ngemuva kokudla;
• ukozela, ukukhathala okujwayelekile komzimba, ukungakwazi ukugxilisa ingqondo nokugxilisa ingqondo;
• umfutho wegazi ophakeme;
• imiphumela yokuhlola ikhombisa ukwanda okukhulu kwama-triglycerides;
• Ukuwohloka kwesikhumba kwenzeka, ukoma okhuphukayo, ukukhula kwesikhumba, isikhumba emakhondweni, esifubeni nasentanjeni kuphulukana nokuqina kwawo bese kuba imibimbi.

Zonke lezi zimpawu ezingenhla azibufakazi obuqondile bokuthi umzimba umelana ne-insulin. Ngaphezu kwalokho, kwezinye izimo, izibonakaliso ezinjalo nezimpawu kuwuphawu lwentuthuko kwezinye izinqubo ze-pathological.

Izifundo zobudokotela ezingathola i-metabolic syndrome zisuselwa kulwazi olulandelayo:

1. imiphumela yokuhlolwa kwegazi ikhombisa izinga eliphezulu le-cholesterol embi nokuntuleka kokuhle;
2. ama-triglycerides adlula izinkomba ezijwayelekile;
3. umchamo kutholakale ukuthi uphezulu ngamaprotheni.

Ukuxilonga isifo kususelwa kuphela kwimiphumela yokuhlolwa kuyinkinga impela. Lokhu okwedlule kungabonisa kuphela ukuthi kungenzeka ukuthi kungenzeka ukuthi kunalesi sifo.

Kunoma yikuphi, uma lezo zimpawu zenzeka futhi zihambisana nesiguli ngaso sonke isikhathi, kufanele uthintane nodokotela ukuthola imbangela yokuvela kwazo.

Kwenziwa kanjani ukuxilongwa?

Kuze kube manje, kunezindlela ezithile zokunquma ukuzwela kwezicubu ukungena ku-insulin. Amukelwa yi-World Health Organisation ngonyaka ka-1999 futhi aqukethe lezi zinto ezilandelayo zobungozi:

• Ukukhuluphala kohlobo lwesisu (endaweni okhalweni). Njengombandela wokuhlonza isifo, kuwumkhuba ukusebenzisa izinkomba ezilandelayo: okhalweni lwabesifazane akumele lube ngaphezulu kwamasentimitha angama-90, emadodeni leli nani kufanele libe ngaphansi kwamasentimitha ayi-101.5.
• Ukuba khona kwe-hypertriglyceridemia, ngenkathi imiphumela yokuhlola kufanele ibe ngaphansi kuka-1.7 mmol ilitha ngalinye.
• I-cholesterol enhle ingaphansi kokujwayelekile (ingaphansi kwe-1.0 mmol ngelitha elilodwa kulowesilisa futhi ingaphansi kuka-1.28 mmol ngelitha elilodwa lowesifazane).
• Ukubonakaliswa kokubekezelela ushukela okhubazekile.
• Isiguli sitholakala sinesifo sikashukela sohlobo 2.
• Umfutho wegazi ophezulu we-Arterial.
• I-Microalbuminuria Njengombandela wokuhlonza, isilinganiso esijwayelekile se-albhamuin ne-creatinine singama-20 mg igremu ngalinye.

Elebhu, ukuhlolwa kokuxilonga kufaka amasampula egazi ukuze kuhlaziywe. Le nqubo yenziwa ekuseni, esiswini esingenalutho. Izinkomba zokulawula ze-insulin akufanele zedlule uphawu kububanzi ukusuka ku-3 kuye ku-28 μU / ml. Uma imiphumela yokuhlola ikhombisa amanani aphezulu kakhulu, lokhu kungakhombisa ukuthi ama-pancreas akhiqiza amanani amaningi e-hormone ukwenza ukumelana namandla.

Ukuthola ukungasebenzi kahle endaweni yaselebhu, kungenziwa ne-insulin clamp ekhethekile. Ingqikithi yayo isendaweni yokuthi kwenziwa umjovo we-intravenous, lapho i-insulin neglucose iphathwa ngokuqhubekayo amahora amane kuya kwayisithupha. Le nqubo ayisetshenziswa kakhulu, ngoba yinqubo ebangela abasebenzi.

Ukuthola ukuthi umuntu angakwazi ukuthuthukisa into efana nokumelana, kusetshenziswa ama-indices akhethekile:

1. IHOMA IR. Imininingwane kufanele ibe ngaphansi kuka-2.7, lokhu kuzobonisa izinga elijwayelekile le-insulin.
2. I-CarO Inkomba ejwayelekile ingu-0.33.

Ama-indices anjalo abalwa ngesisekelo sokuhlolwa kwegazi.

Ukwelashwa kanjani?

Ukwelashwa kwalesi sifo, kumele kusetshenziswe izindlela eziyinkimbinkimbi, ezibandakanya:

• imithi;
• ukuhambisana kokudla;
• ukuzivocavoca umzimba kanye nendlela yokuphila esebenzayo.

Kumele kuqashelwe ukuthi ukugcizelela okuyinhloko kufanele kube kokudla okufanele nokunciphisa umzimba. Ukudla okusheshayo kufanele kukhishwe ngaphandle. Isiguli kufanele sikwazi ukubuyekeza indlela esidla ngayo futhi sisuse amanye amasentimitha okhalweni. Ukugcizelela okuyinhloko kufanele kube ezitsheni ezinempilo kakhulu. Ngokufanelekile, lokhu kudla kufanele kuthuthukiswe uchwepheshe onakekela izici zomuntu ngamunye ogulayo.

Ukudla okufanele kuqukethe lokhu kudla okulandelayo:

1. imifino nezithelo ezingafakiwe;
2. isinkwa esiphelele sokusanhlamvu ngamanani amancane, okusanhlamvu nezinhlamvu (ngaphandle kwerayisi ne-semolina);
3. ukudla kwasolwandle;
4. izinkukhu kanye nezinkukhu eziswelayo;
5. uma kunesidingo, thatha inkambo yokuthatha i-vitamin complexes eyengeziwe kanye nama-supplements (njengoba kuvunyelwene nodokotela ohambelayo).

Ukudala ukuqina kwamazinga ajwayelekile kashukela egazini, kuyadingeka ukushiya ngokuphelele ukusetshenziswa koshukela, ushokoledi kanye ne-confectionery.

Ukuzivocavoca kwe-physiotherapy ekhethwe kahle nezindlela zokuphila ezisebenzayo nakho kungadala ukwehla kwamazinga kashukela. Ukwethulwa kokuhamba nsuku zonke imizuzu engama-20-30 nakho kuhle.

Kwezinye izimo, udokotela wakho angakunikeza imishanguzo yokukusiza ukuphatha izimpawu zakho futhi ulungise namazinga kashukela egazini ngenxa yokumelana ne-insulin. Umuthi oyinhloko wokwelapha lesi sifo yi-metformin. Ukusetshenziswa kwaso kusiza ukunciphisa i-insulin neglucose egazini, kuyilapho kungabangeli i-hypoglycemia. Phakathi kwezakhiwo ezingeziwe zomuthi zihlanganisa:

• ukunciphisa umzimba;
• ukwenza ngcono umsebenzi wokuzala kwabesifazane;
• ukujwayelekile komjikelezo wokuya esikhathini.

Ngaphezu kwalokho, ngokwesivumelwano nodokotela ohambelayo, ungasebenzisa umuthi wendabuko ohlukahlukene. Enye yezindlela ezisebenzayo futhi elula kunazo zonke ukwethula ama-blueberries ekudleni kwakho kwansuku zonke. Futhi kusuka emaqabungeni awo ungalungisa i-decoction yokwelapha.

Ama-Blueberries aphakathi kokudla okumbalwa okungakhulisa ukuzwela kwe-insulin ngokunciphisa ushukela wegazi.

Iba yini imiphumela?

Njengomphumela we-metabolic syndrome, igazi lomuntu liqukethe amazinga aphezulu e-insulin. Kulesi simo, amanani we-glucose angahluka kusuka ophansi kakhulu kuya phezulu kakhulu. Inqubo enjalo ibangela umuntu ukuba azizwe ekhathala ngokungapheli, ukungakhathaleli, ukudangala nokudangala, ngenxa yalokho umzimba udinga amandla ongeziwe ngesimo sokudla okugaya ukudla kalula emzimbeni.

Ukudla okunjalo kungakhuphula inani likashukela egazini, futhi ngenxa yalokho, amanyikwe akhiqiza ingxenye entsha ye-insulin. Amafomu ombuthano amabi.

Ngaphandle kokuthi indlela yokuphila yesimanje ihlala iyisithiyo sokufinyelela kudokotela ngesikhathi esifanele, kufanele uqaphele impilo yakho ngokucophelela.

Uma ungalazi futhi ulapha ukumelana ne-insulin ngesikhathi, imiphumela elandelayo engemihle nezifo zingaba khona:

• ingozi eyengeziwe yokuthola isisindo;
• ukubonakaliswa kwama-cholesterol plaque ezindongeni zemithambo yegazi;
• ukuncishiswa kokukhanya kwemithambo yegazi ngenxa yokuqina kwezindonga ze-carotid artery;
• ukuthuthukiswa kwesifo sikashukela sohlobo 2;
• i-pathology yesistimu yenhliziyo;
• ukuthuthukiswa kwe-hypertension;
• ukubonakaliswa kwe-atherosclerosis.

Ukubonakaliswa kwezifo ezingenhla kuncike ngasiphi isigaba i-metabolic syndrome ezotholwa futhi ukwelashwa kwayo kwenziwa. Inkambo yokwelapha esifike ngesikhathi kuphela ezosiza ukugwema izinkinga ezengeziwe zezempilo futhi ivikele nemiphumela emibi. Ngaphezu kwalokho, akufanele uthathe imithi ngokwakho nokuzilungiselela. Ividiyo ekulesi sihloko izoqhubeka nesihloko sokumelana ne-insulin.