Ukwanda kokuhlushwa kwe-insulin kwegazi akukaze kwenzeke nje. Imvamisa, isizathu salokhu mkhuba silele ekudlulisweni kwezimo ezithile ezicindezelayo ngumzimba noma ngesikhathi senqubo ye-pathological. Sizohlaziya ngemininingwane eminingi izimbangela, izimpawu, ukwelashwa kwe-hyperinsulinemia kanye nengozi yokuxineka okunjalo emzimbeni womuntu.
IHormone Norm
Kwabesilisa nabesifazane abadala, indlela ejwayelekile yokuhlushwa kwe-insulin egazini isuka ku-3.8 iye ku-20 μU / ml. Ukuhlolwa kokuthola leli zinga kuthathwa esiswini esingenalutho nangemva kokudla. Lokhu kungenxa yokuthi ngemuva kokudla, amazinga kashukela egazi ayanda futhi, ngenxa yalokho, i-insulin nayo iba nkulu. Ngakho-ke, uma uthatha impahla yocwaningo kuphela ngemuva kokudla, imiphumela yokuhlaziywa kwayo ayilungile.
Lesi sici somzimba asisebenzi ezinganeni ezingakadluli ebusheni. Igazi labo lithathwa, kungakhathalekile ukuthi badlile yini noma cha. Lapho ingane ingena ebusheni, ukukhiqizwa kwe-insulin kuye ngokuthi kuncike ekudleni. Isimo sokuqukethwe kwe-insulin ezinganeni siyefana nakwabadala.
Kungani kungaba khona i-hyperinsulinemia?
Ngokubangelwa imbangela eyisisekelo yento, i-hyperinsulinemia ihlukaniswe:
- Okuyinhloko;
- Okwesibili.
Ifomu eliyinhloko yi-hyperinsulinemia ngasikhathi sinye sokuhlushwa koshukela okuncane. Leli fomu libizwa nangokuthi yi-pancreatic hyperinsulinism, ngoba i-pathology ikhula ngokumelene nesizinda sokungafani okungafanele kwe-insulin antagonist hormone glucagon (le nto ibizwa ngokuthi yi-glucagon hyposecretion). Ilawula inani le-insulin futhi lapho ukukhiqizwa kwe-glucagon kwehluleka, kune-insulin engaphezulu.
Ifomu lesibili ukuhunyushwa kwe-insulin ngasikhathi sinye ngamazinga kashukela ajwayelekile noma aphezulu. Le pathology ihambisana nokungasebenzi kahle enkabeni yezinzwa nokuhlanganiswa okuthuthukile kwezinto ezinjalo:
- I-Corticotropin (i-adrenocorticotropic hormone);
- I-hormone yokukhula ne-hormone yokukhula (ihlanganiswe ku-pituitary gland);
- I-Glucocorticosteroids (wonke ama-hormone e-adrenal cortex).
Kunezizathu eziningana eziyinhloko zokuthi kungani inani ngokweqile le-insulin lifakwe kumuntu. Njengoba inqubo yokukhiqiza le hormone ngokwayo ingakafundiswanga ngokuphelele, kunzima kakhulu ukubona zonke izimbangela ze-hyperinsulinemia. Ngasikhathi sinye, ochwepheshe bahlukanisa izinto eziningana, ngenxa yokuthi i-insulin eningi ingena egazini kunalokho okudingekayo.
| Ukucindezela okukhulu | Ngaphansi kwengcindezi, i-adrenal gland iyasebenza futhi ukukhiqizwa kwe-adrenaline kuyanda. Isenzo salesi hormone sihlose ukunciphisa imithambo yegazi, umfutho ovuselelayo, ovusa ukukhiqizwa kwamangqamuzana egazi abomvu kanye ne-insulin. Uma ukuhlushwa kwe-insulin kukhuphuka ngokuqondile ngenxa yesenzo se-adrenaline, khona-ke isiguli asidingi ukwelashwa okukhethekile. Lapho isimo sokucindezela sidlula, ukugcwala kwama-hormone kuqina. |
| Ukuzivocavoca okukhulu | Zonke izinqubo ezifanayo zenzeka njengokushaqeka kwengcindezi. Kulesi simo, kubalulekile futhi ukuthi ama-molecule we-glycogen ne-glucose adliwe ngenkuthalo yimisipha, ngenxa yokuthi lokho kugxila ushukela kungancipha ngisho nangaphezulu. |
| Izifo ezithelelanayo zamagciwane, igciwane | Ngesikhathi sezifo ezithathelanayo kubantu, ukukhiqizwa kwamahomoni amaningi kuyakhuthaza, okungenza kusebenze ukukhiqizwa nokusebenza kwe-insulin. I-Hyperconcentration iqedwa ngokwelapha izitho ezithintekile. Kwezinye izimo, isiguli singathunyelwa ekuhlinzweni. |
| Khuluphele (ukukhuluphala) | Kukhona ukukhuphuka okuhambisanayo kwesisindo nokuxakaniseka kwe-hormone. Izinqubo ezinjalo zibangelwa ukungalingani ekusebenzeni kwamafutha, amaprotheni nama-carbohydrate. Lapho kune-insulin eningi, ukumuncwa kwezakhi zomzimba ezi-carbohydrate kuyaphazamiseka bese baphenduka babe ngamafutha. Futhi okuphambene nalokho. Lapho umuntu eqongelela amanoni noshukela omningi emzimbeni, i-insulin iqala ukukhiqizwa ngokwengeziwe. |
| Ukuphazamiseka kwengqondo pancreatic | Ukusebenza okungafanele kwalomzimba (kufaka phakathi isifo sikashukela) kungathinta ukukhiqizwa kwe-insulin. Inani ngokweqile le-hormone lingahlanganiswa, kanye nelilodwa. |
Izinqubo ze-tumor kuma-pancreas nazo zingavusa i-hyperinsulinemia. Imfundo ingatholakala ezingxenyeni ezihlukene zomzimba, kufaka phakathi iziqhingi zeLangerhans (pancreatic). Esimweni esinjalo, ukuhlinzwa kuzoba ukuphela kwendlela yokwelashwa.
Isimpawu esibonisa
Nge-insulin eyandayo, zonke iziguli zithola lezi zimpawu ezilandelayo:
- Akunandaba ukuthi udla kangaki futhi ngokugcwele, unomuzwa ongapheli wendlala;
- Ukhathala ngokushesha okukhulu;
- Noma ngomthwalo olula, uyafa ngokuhamba kwesikhathi futhi uphefumula kakhulu;
- Isikhumba sakho sihlala siluma;
- Amanxeba apholisa kancane, aqhakaza;
- I-myalgia ebukhali (izinhlungu zemisipha kanye namaqhubu).
Imbangela yokubonakaliswa okunjalo kungeke kube kuphela isilinganiso se-insulin eseqile, futhi kungambozwa kwezinye izifo. Uma kutholakala izimpawu ezinjalo, umuntu akufanele azame ukuzindla.
Ingozi yokuvela
Okokuqala, ingozi yezinga elikhulayo le-protein insulin iyingozi yokuqhubeka kokuthuthuka kwe-hypoglycemia. Leli igama lalesi simo lapho ushukela wegazi ufinyelela inani elincane elibucayi - ngaphansi kuka-2.8 mmol / litre wegazi.
Kwenzekani emzimbeni ngalesi sikhathi? Ukuqonda inkambo yale nqubo, kufanele ukhumbule ukuthi i-insulin isebenza kanjani. Lapho ukugcwala kweglucose kudlula umkhawulo ojwayelekile, amanyikwe aqala ukukhiqiza i-insulin ngenkuthalo. Futhi, le nto ingalawulwa ngaphandle uma umuntu egula isifo sikashukela.
I-hormone isebenzisa izinqubo zokuhambisa ushukela kanye ne-glycolysis, ngenxa yokuthi ushukela uqala ukumunwa ngokujulile, ufakwe endaweni ekhethekile yamafutha futhi ususwe kancane emzimbeni.
Zonke lezi zenzo kuhloswe ngazo ukuqinisa izinga kashukela. Kepha i-glucose kufanele ibe isesimweni esithile egazini nasemangqamuzaneni. Ngomzimba womuntu, ungumthombo wamandla oyinhloko.
Uma umuntu ephilile, isibindi sakhe esesimweni esinjalo sizoqala ukukhipha ama-molecule e-glycogen egazini ngenkuthalo ukuze into ye-insulin idliwe kakhulu ngenxa yokuqhekeka kwesitashi futhi ayithinti i-glucose kangako. Kepha kwezinye izimo, umzimba kungenzeka ungabi nakho okungenani ukunikezwa kwe-glycogen. Lokhu kwenzeka ngesifo sikashukela sohlobo 1 nohlobo 2. Ngenxa yalokhu, lapho ukuqina koshukela kwehla ngaphansi kwe-2.8 mmol / litre, i-hypoinsulemia iyakhula.
Kungasiza futhi ukubukeka kwayo:
- Isikhathi eside ngaphandle kokudla (amahora angaphezu kwama-5-7);
- Ukuvivinya umzimba ngokweqile;
- Ukusetshenziswa komthamo omkhulu wotshwala;
- Ukudla okungenampilo;
- Ukuthatha umuthi othile: i-aspirin, i-warfarin, i-probenecid, i-allopurinol (khuphula umsebenzi wehomoni);
- Izidakamizwa ezinciphisa ushukela.
I-Hypoglycemia ihambisana nezimpawu ezithile ezenza kube lula ukuzibona:
- I-palpitations yenhliziyo kanye nokushaya kwenhliziyo;
- Ukuxhumana okungahambi kahle;
- Pallor yobuso;
- Ukulimazeka kwememori;
- Amacala;
- Ukucasuka;
- Ukwanda kokujuluka;
- Indlala enkulu;
- Isiyezi nekhanda.
Uyacelwa ukuthi uqaphele ukuthi le nto inamazinga amaningana obunzima futhi iphansi ingcindezi ye-glucose, kuqhakaza lezi zimpawu.
| Imnene | Ushukela kusuka ku-3.8 kuya ku-3 mmol / ilitha. | I-Tachycardia, i-paresthesia (ukuthambeka emaphethelweni), isicanucanu, kuvela ukushisa okukhulu. |
| Ibanga eliphakathi | Ushukela kusuka ku-3 kuye ku-2.2 mmol / ilitha. | Umuntu uyakhuluma futhi uhambe kabi kakhulu, umbono wakhe ufiphele. |
| Iziqu ezikhulu | Ushukela ungaphansi kuka-2.2 mmol / ilitha. | Ukulahlekelwa ukwazi, ukugoba, ukubanjwa. |
Ezimweni ezimbi kakhulu, ngokusebenza ngokweqile kwe-insulin namazinga kashukela omncane, umuntu angaba ne-hypoglycemic coma. Labo abahlushwa ukwanda kwenani le-insulin isikhathi eside basengozini yokuqhamuka ne-pathologies ehlukahlukene yobuchopho kanye nohlelo lwenhliziyo.
Ukuxilongwa kokuhlushwa kwe-insulin
Zonke izifundo zenziwa ukuze kulandelwe inani le-glucose egazini nge-insulin eyengeziwe kanye nokuhlaziywa kwamanyikwe.
Kunezinhlobo eziningi zokuhlaziya zalokhu:
- Isampula yegazi yokudla okushukela;
- Ukuhlolwa kokubekezelela kwe-glucose.
Ngokusekelwe emiphumeleni yokuhlaziywa, udokotela uzokwazi ukuthola iziphetho mayelana nokunganakwa kwenkinga futhi, mhlawumbe, isizathu sokubonakala kwayo.
Ungawehlisa kanjani amazinga e-hormone?
Ukulwa ne-hyperinsulinemia, odokotela banquma indlela yokudla, ukuzivocavoca okukhanyayo, kanye nokwelashwa ngamakhemikhali Kwezinye izimo, ukuhlinzwa kungenzeka.
Ukudla okufanele
Izimiso eziyisisekelo zokudla okunempilo kwe-hyperinsulinemia zifaka ukunamathela ekudleni nasekudla okwakhelwe kahle. Isiguli sidinga ukudla okungenani izikhathi ezingama-5-6 ngosuku, izingxenye kufanele zibe nezincane.
Ukudla kwasebusuku kufanele kuqedwe ngokuphelele, isikhathi sokugcina lapho udinga ukudla okungenani amahora angama-3-4 ngaphambi kokulala. Ukudla okuyinhloko nokudla okufanayo okunzima ukukugaya kufanele kudliwe ekuseni.
Uhlu lwakho lokudla kufanele lube nalokhu:
- Izithelo nemifino (ungapheka, ubhake noma udle okusha);
- Imikhiqizo yobisi enamafutha amancane;
- I-Porridge enenkomba ephansi ye-glycemic;
- Izinkukhu, unogwaja, i-veal;
- Isinkwa se-Wholemeal;
- Itiye eliluhlaza, ama-compotes ashukela angenalutho;
- Amakhekhe, amantongomane, imbewu.
Qiniseka ukuthi uthola uhlobo lokuphuza. Okukhulu kufanele kuphuze okungenani amalitha ayi-1.5 amanzi ngosuku.
Udinga ukunciphisa ukusetshenziswa kwe-muffin, amaswidi, ushokoledi, ufulawa, imikhiqizo esekuqediwe, isinkwa esivela kufulawa osezingeni eliphakeme. Kungcono ukungadli inyama ebhemile namasoseji. Ezithelo nemifino, awukwazi ukudla amazambane amaningi, amagilebhisi, amakhabe, ikhabe.
Ezemidlalo
Umthwalo usiza ukugcina ukusebenza okujwayelekile komgudu wokugaya ukudla, ama-endocrine kanye nezinhlelo zenhliziyo. Kuhloswe ukuthi kususwe ukuqokelelwa ngokwamafutha ngokweqile. Umuntu onesibalo esikhulu se-insulin uboniswa imithwalo elula, imidlalo esindayo kufanele iqedwe ngokuphelele. Imikhawulo yemithwalo evunyelwe yesiguli kufanele inqunywe ngokuhlukile ngudokotela.
Ukuthatha umuthi
Isenzo sezidakamizwa sihlose ukubuyisa ukusebenza okujwayelekile kwamanyikwe nokulawula ukwakheka kwe-insulin. Izakhi ezisebenzayo zale mishanguzo futhi ziqeda ukumelana ne-insulin, zibuyisele impendulo evamile yokuphelelwa ngamandla kwe-pancreatic ekuphenduleni ekwandeni kokuxineka kwe-glucose, ukunciphisa inani loshukela egazini, indlala elinganiselayo futhi kunomthelela ekunciphiseni isisindo.
Izidakamizwa ezisetshenziswa kakhulu kulezi zinhloso yilezi:
- Siofor;
- Isithambisi.
Awungeke uye ekhemisi futhi uthenge izidakamizwa ukuze wehlise i-insulin ngaphandle kokuhlolwa kokuqala. Iningi lazo linokuphikisana okuningana nemiphumela emibi engathinta isimo somzimba wakho ngokungalindelekile.
Ukuphuza umuthi kuba nomphumela ofanele uma, ngasikhathi sinye, ukondliwa okufanelekile nokusebenza ngokomzimba kusekelwa. Ukwelashwa nje ngamaphilisi kungenzeka kube okungenamsebenzi, ngoba umphumela omkhulu awenziwa ngabo, umuthi, kunalokho, uyinto esekelayo.
Umuthi wendabuko
Izindlela zemithi yendabuko zingasiza ukubuyisa amazinga e-insulin. Kubalulekile ukukhumbula ukuthi akunakwenzeka ukwelapha i-hyperinsulinemia kuphela ngabo. Ngaphambi kokusebenzisa ngayinye yalezi zindlela zokwelashwa ezilandelayo, thintana nomhlinzeki wakho wezokunakekelwa kwempilo.
Ukuqeda i-insulin ngokweqile, ungasebenzisa:
- Ijusi leBeetroot. Udakiwe amahlandla amane ngosuku, 60-100 ml ngaphambi kokudla.
- Osahlaza amazambane. Phuza kabili ngosuku amahora ambalwa ngaphambi kokudla. Umthamo owodwa ngu-100 ml.
- Ijusi leSauerkraut. Ngemuva kokudla kwasekuseni, isidlo sasemini nakusihlwa udinga ukuphuza ama-30 ml.
- Ijusi kusuka izaqathi. Ngemuva kokulala nangaphambi kokulala, 50 ml.
- Buckwheat nge kefir. Yidla esiswini esingenalutho. Ukulungiselela: gazinga i-buckwheat, uthele amagremu angama-50 wengxube eqediwe ubusuku nengilazi ye-kefir. Cishe ihora ngaphambi kokudla ibhulakufesi, sebenzisa izipuni ezi-2 zomkhiqizo. Inkambo yokwamukelwa ingamasonto ama-2.
- Isinqumo seLavrushka. Amaqabunga ayisithupha ama-laurel athululelwa engilazini yamanzi ashisayo futhi afakwe amahora angama-24, ngemuva kokuchithwa. Udinga ukuphuza inkomishi engu-1/4 ngehora ngaphambi kokudla. Isifundo singamaviki ama-2.
Ngemuva kokuthola ukwelashwa nganoma iyiphi yalezi zimali, udinga ukuhlolwa ngudokotela futhi unikele ngegazi ukuze lihlaziywe. Ungakhohlwa ukuhlanganisa izindlela zendabuko zokwelashwa nezezokwelashwa. Namathela kokudla okufanele nokuzivocavoca okusemandleni akho.
Izindlela zokuvimbela
Ekhiqizweni kwe-insulin kwagcinwa ezingeni elifanele futhi ukuqoqwa kwe-hormone kungangeqi emngceleni wamanani, kufanelekile ukulandela le mithetho:
Uma ubona izimpawu zokushintsha kwehomoni - thintana nochwepheshe ukuze uhlolwe. Udokotela omdingayo udokotela wobugqila.
- Iya ekugcineni kwendlela enqunyelwe;
- Gwema ukushaqeka okukhulu kwemizwa;
- Ungayisebenzisi ngokweqile ngomsebenzi womzimba. Khetha imidlalo efana nokubhukuda, ukuqina komzimba nokuhamba ngebhayisikile;
- Yiyeke imikhuba emibi njengokubhema ngokweqile utshwala;
- Landela ukudla okhethekile;
- Chitha isikhathi esanele ngaphandle;
- Musa ukwephula inqubo yansuku zonke, ulale okungenani amahora angama-8.
Ngokuvamile, qhubeka nendlela yokuphila enempilo, lokhu kuzokusiza ugweme hhayi kuphela i-pathology engenhla, kodwa nezinye izifo eziningi.
