Kwenzekani uma ufaka i-insulin kumuntu ophilile? Lo mbuzo uvuka njalo kubantu abanelukuluku. Ukuthola impendulo eyiyo kuwo, kufanele uqonde ukuthi yimiphi imisebenzi eyenziwa yi-hormone emzimbeni, ukuthi ihlanganiswa kanjani futhi ikhishwe kanjani.
Umbuzo wokululeka kokufaka imijovo ye-insulin ubuye uvele kubantu asebetholakale ukuthi banesifo sikashukela. Ifomu elitholile alidingi njalo imijovo yehomoni eyengeziwe. Ungalungisa ushukela wakho wegazi ngokudla.
Noma iyiphi i-hormone yokwenziwa icasulayo uhlelo lwe-endocrine. Isinqumo sokusetshenziswa kwaso njalo senziwa udokotela ohambelayo, eqaphela futhi ehlola yonke imiphumela yokwelashwa.
Izici zokwakheka kwe-insulin
I-insulin yi-hormone ebalulekile omsebenzi wayo ophambili ukudicilela phansi ama-carbohydrate. Uma le nto inganele emzimbeni, khona-ke i-glucose iqongelela egazini, ibe nomthelela ongemuhle empilweni yabantu. Ukuthola ushukela owodwa egazini noma umchamo akuvezi ukukhula kwesifo sikashukela, kepha umuntu kufanele aqaphele.
Imvamisa, izinga leshukela likhuphuka kakhulu kwabesifazane abakhulelwe, isifo sikashukela sokukhula komzimba siyakhula. Lezi zinqubo zihambisana nokungalingani okukhulu kwe-hormonal emzimbeni wowesifazane ophethe ingane.
Zonke izitho zangaphakathi zihlupheka umthwalo ohehayo, i-pancreas ayihambisani nemisebenzi yayo, i-insulin ayikhiqizwa ngenani elifanele. Izimpawu ziyanyamalala ngokushesha ngemuva kokubeletha.
Ngokuya kokudla kwe-carb ephansi ngalesi sikhathi, ayikho imiphumela emibi kumama nengane. Ukugaya i-insulin ekhulelwe nayo ayinconywa. Ngokuhamba kwesikhathi, umzimba uzojwayela ukuthi ama-hormone aqhamuka ngaphandle, ngeke awakhiqize ngokwemvelo. Ngale ndlela, i-mellitus yangempela etholakele kakhulu iba.
Uma umuntu ophilile enikezwa i-insulin, kunzima ukubikezela ukuthi umzimba uzosabela kanjani kulokhu kungenelela. Ucwaningo alukufanele.
Umthamo owodwa we-insulin
Uma i-hormone yokwenziwa ingena ngaphakathi kanye, khona-ke umzimba uyayibona njengobuthi, bese kuvela nezimpawu zokuphuza kakhulu. Ukwelashwa kwezifo kwesinye isikhathi kuyadingeka, ukugeza isisu namathumbu ukuze ususe izimpawu zobuthi.
Ukubonakaliswa kwalesi simo kungokulandelayo:
- Isicanucanu, ukuhlanza;
- Ubuthakathaka obujwayelekile;
- Isiyezi, ukulahleka kwesikhashana kwesikhashana;
- Ubuhlungu bekhanda obukhulu;
- Ukomiswa nokunambitheka okubi emlonyeni.
Naphezu kweqiniso lokuthi umzimba ngazo zonke izindlela unikeza izibonakaliso zokuthi umsebenzi wawo ukhubazekile, i-insulin iqala ukusebenza, iphula ushukela, bese izinga likashukela lehla liye kumanani abucayi. Izimpawu ezifanayo zenzeka ezinganeni ezine-acetonemic syndrome.
Enye yezindlela zokwelapha ukudambisa ingane ngesisombululo se-glucose. Le ndlela ingabuye isetshenziselwe ukubuyisela amandla kumuntu ophile kahle owangenwa nge-insulin.
Ukubuyisela ibhalansi kashukela wegazi kuthatha ngaphezu kosuku olulodwa, kepha impilo yonke iyathuthuka ngokushesha okukhulu.
Ukwethulwa komthamo omkhulu we-insulin
Manje sizoqonda ukuthi kuzokwenzekani uma i-insulin ihanjiswa umuntu onempilo kumthamo omkhulu. I-overdose ye-hormone nayo iyingozi ezigulini ezinesifo sikashukela i-mellitus.
Izici ezihlobene ziyadingeka:
- Uhlobo lokuphatha lusemafutheni emisipha noma angaphansi;
- Isisindo somuntu;
- Iminyaka yakhe.
Iyunithi elilodwa le-insulin linciphisa izinga le-glucose egazini lomuntu ojwayelekile liye ku-8 mmol / l. Uma wethula umthamo omkhulu ngesikhathi, khona-ke lokhu kugqokwa ngokuwela ku-hypoglycemic coma nokufa kwesiguli; ukuzama ngale ndlela akuvunyelwe ngokuphelele. Umphumela we-insulin yokwenziwa emzimbeni womuntu ojwayelekile awakaqondakali ngokuphelele.
Odokotela abakazitholi izimbangela nezidingo zokuqalwa kokutholwa kwesifo sikashukela, ngakho-ke akunakwenzeka ngokuphelele ukusebenzisa i-insulin ngaphandle kokuyalelwa ngudokotela.
Imijovo ye-insulin ejwayelekile kumuntu onempilo
Uma i-insulin inikezwa umuntu ophilile kumadosi amancane futhi ngokuvamile, ingatholakala kuphela ukuthi ama-pancreas ngeke enze imisebenzi yawo. Izinga lama-hormone emzimbeni lizonyuswa, ubuchopho buzokhomba kumanyikwe ukuze kumise ukukhiqizwa kwalokhu, kepha lapho imijovo iyeka, isitho sohlelo lwe-endocrine siyophazamiseka.
Ngokuntuleka kwe-insulin, amazinga kashukela ayanda, isifo sikashukela siyakhula.
Kwesinye isikhathi, esigabeni sokuthola lesi sifo esiyinhloko, odokotela bayaphuthuma ukuyonikeza imishanguzo esekwe kuyi-insulin, kepha lokhu ngeke kwenziwe kuze kutholakale ukuthi isifo sitholakele. Kwezinye izinhlobo zesifo sikashukela, imijovo ye-insulin ejwayelekile iyakhethwa.
Ungalawula futhi uguqule i-glucose level yakho ngokudla okuphansi kwe-carb. Kunzima esigulini ukujwayela isigqi esisha sempilo, kepha ayihlushwa yimiphumela emibi kanye nemiphumela yokuphathwa njalo kwamahomoni.
Odokotela banamuhla bayavuma ukuthi ukuqala kokwelashwa kwe-insulin kufanele kuhlehliswe kuze kufike ekugcineni. Lokhu kusebenza kwifomu lesibili lokukhula kwalesi sifo, okwenzeka kubantu abaneminyaka engaphezu kwama-35 ubudala. Isifo sikashukela sohlobo 1 sihlala siphathwa nge-insulin.
Hhayi njalo ukwanda koshukela wegazi kukhombisa isifo sikashukela. Ukwenza ukuxilongwa, kuyadingeka ukwenza ucwaningo oluningi, uthathe izivivinyo hhayi kuphela ushukela wegazi, kodwa nokubekezelela i-glucose, ukuqapha ukuvela nokuwa kwalesi sikhombisi usuku lonke. Umuntu ophilile akufanele afake i-insulin ngaphandle kobufakazi obuqondile.
Imidlalo eyingozi nge-insulin
Isimo umuntu angena kuso ngemuva komthamo omncane we-hormone ufana nokudakwa, kepha akunakwenzeka ukuthola ubukhona bezinto ezinqatshelwe egazini.
Imidlalo eyingozi enjalo ijwayelekile emhlabeni wonke. Ezintheni, ukujova okuqhubekayo kwe-insulin kunemiphumela emibi. Lapho umzimba usesigabeni sokukhula okusebenzayo, izitho zangaphakathi zingakakhiwa ngokuphelele, ngokwezigaba akunakwenzeka ukuphazamisa umsebenzi wazo ngezindlela ezahlukahlukene.
Intsha "engenela" ngale ndlela igijimisa ubungozi bokuwohloka, ifa. Noma kungeke kwenzeke imiphumela emibi kangako, abantu abasha bazibeka engcupheni yokuthola isifo esingalapheki. Kuyinhloso yabazali nakubantu abaseduze ukuveza ubungozi bokulutha okunjalo okungejwayelekile futhi nokuzijabulisa.
I-Hypoglycemic coma
Omunye wemiphumela emibi kakhulu yokusebenzisa i-insulin kumuntu ophilile yi-hypoglycemic coma. Ikhula ngokumelene nesizinda sokwehla okubukhali nokushesha kakhulu kwamazinga kashukela emzimbeni kumanani aphansi aphansi.
Lesi simo sikhula kungakapheli imizuzu embalwa. Ekuqaleni, umuntu angakhononda ngobuhlungu obukhulu bekhanda nesiyezi, abese alahleka kungazelelwe futhi akunakwenzeka ukuthi kumlethe imizwa.
Imizimba yethu idinga ama-carbohydrate, ayinika amandla, futhi "ayondla" amangqamuzana obuchopho. Esimweni se-hypoglycemic coma, ushukela wegazi ulincane.
E-coma, izitho ezibalulekile zisebenza okungenani lamandla azo, futhi amanye amaseli obuchopho afa ngokuphelele. Ngokushesha lapho isiguli sikhishwa kulesi simo, imiphumela emincane engemihle ayoba nayo.
Ungakhipha umuntu ku-coma ngokuqala ushukela ngokushesha. Kuyalulekwa ukwenza lokhu ngokungenacala, uma lokhu kungenzeki, zonke izindlela ezitholakalayo zisetshenziswa. Ezimweni ezingama-90%, lokhu kunikeza umphumela omuhle.
Uma isiguli singalulami noma sinezimpawu zokuphazamiseka ohlelweni lwezinzwa - ukudideka esikhaleni, ukudideka kwemicabango, ukwethuka, lapho-ke kudingeka isibhedlela esiphuthumayo emnyangweni wezimo eziphuthumayo.
Ukuphathwa okuphindaphindiwe kwe-insulin ngemuva kokuba ukhubazekile we-hypoglycemic ubulale isiguli esingenaso isifo sikashukela. Ushukela wegazi udinga ukuqina. Ukuze lokhu kwenzeke, ngezinsuku eziningana le nkomba ibhekwa njalo.
Kuyenqatshelwe ngokuphelele ukuphatha i-insulin kumuntu onempilo, noma ngabe yiliphi ithamo, indlela yokuphatha. Lokhu kugcwele ngemiphumela emibi futhi engenakuphikwa yempilo. ukweqiwa kwehomoni kuholela ekuphazamisweni kwe-endocrine.
