I-insulin yi-pancreatic hormone ekhiqizwa iziqhingi zeLangerhans.. Uma kutholakala ukuntuleka kwalezi zinto emzimbeni, thayipha isifo sikashukela sokuqala. Amangqamuzana abanye abantu anawo lo muthi, obangela uhlobo 2 lwesifo sikashukela.
Uma ungaqali ukwelashwa ngezidakamizwa ngesikhathi, umuntu angabhekana nezinkinga ezinkulu kuze kube ngomphumela obulalayo. Ukuhlolwa kwe-insulin kuzosiza ukuqapha njalo ukugxilwa kwalezi zinto ezisebenza egazini.
Indima ye-insulin
Inesibopho se-metabolism kanye neminye imisebenzi eminingi, efana:
- Ukusatshalaliswa kwe-glucose kwezicubu zomzimba namafutha;
- Ukwanda kokuqina kwezilondolozo zeseli;
- Ukuqongelelwa kwamaprotheni emzimbeni;
- Ukuqhekeka kwamafutha kube amandla.
Umsebenzi owengeziwe wama-enzyme enzelwe ukubola koshukela esibindini.
I-insulin iyingxenye ebalulekile yazo zonke izinqubo ze-metabolic emzimbeni. Ngaphandle kwawo, i-glucose ayizange icutshungulwe futhi yanqwabelana egazini, okuholela ku-hyperglycemic coma. Lesi yisimo esiyingozi esidinga ukunakekelwa ngokushesha kwezokwelashwa. Kungabulala kalula.
Kunini lapho kudingeka khona ukuhlaziya?
I-insulin yi-hormone ekhombisa ukuthi isebenza kahle kangakanani i-pancreas. Noma ngabe awunasizathu sokukhathazeka ngalesi sitho, kuselulekwa ukuthi uhlolwe njalo ngezikhathi ezithile.
Lokhu kuyadingeka ngenxa yezizathu ezilandelayo:
- Ngenxa yokwanda okubukhali kwesisindo somzimba;
- Lapho kukhona isakhi sofuzo;
- Lapho uphuza utshwala nokubhema;
- Ebusweni besifo senhliziyo;
- Ngokudla okungafanele, okungalingani futhi okunganele;
- Lapho kuvela umlomo owomile;
- Uma uqala ukuqaphela ukuthi isikhumba siqala ukuluma nokukhanda;
- Uma amanxeba eqala ukuphulukisa kahle;
- Kwakunomuzwa ongapheli wokukhathala nokukhathala.
Ngabe kwenziwa kanjani ukuhlaziya?
Okwamanje kunezindlela ezimbili zokunquma inani le-insulin egazini: ukuhlolwa kokulamba kanye nokuhlolwa kokubekezelela ushukela. Esimweni sokuqala, kudonswa igazi le-venous, elifundelwa ezimweni zelebhu.
Kwesibili - isiguli sithatha ukuhlolwa kwegazi kusuka emunweni kathathu:
- Esiswini esingenalutho. Emva kwalokho, uphuza isixazululo sika-75 mg we-glucose;
- Ngehora;
- Futhi ngemuva kwehora.
Imithetho Yokunikela Ngegazi
Ukuze ukuhlolwa kwe-insulin kukhombise ukufundwa okunembile kakhulu, kufanele ulandele imithetho embalwa elula ngaphambi kokunikela ngegazi.
Kubandakanya izincomo ezilandelayo:
- Ukunikela ngegazi kuyadingeka esiswini esingenalutho, ngenkathi kutuswa ukuba yindlala okungenani amahora angama-8.
- Ngosuku olwandulela uthango, yeka ukuzikhandla okukhulu ngokomzimba.
- Emahoreni ayi-12 ngaphambi kocwaningo, yenqaba ukudla ukudla okuqukethe ushukela.
- Ngamahora angu-8 - wenqaba ukudla, ungaphuza namanje amaminerali amanzi.
- Okwezinsuku ezi-2, shintshela ekudleni okondlayo okhethekile, okubandakanya ukwenqatshwa okuphelele kwemikhiqizo elimazayo.
- Ungabhemi emahoreni ama-2.
- Yekani ukuthatha umuthi ngesonto. Kodwa-ke, ngaphambi kwalokhu, kufanele ubonane nodokotela wakho ukuthola ukuthi lokhu kuzokulimaza yini.
Khumbula ukuthi ama-hormone awathinti izinga le-insulin egazini. Ngakho-ke, ukuya esikhathini akufanele kube isithiyo kule ndlela yokuxilongwa kwabesifazane. Ukunquma le nto egazini, igazi le-venous liyampulelwa.
Norm
Noma ikuphi ukwephulwa kokuhlangana okujwayelekile kwe-glucose egazini kungakhombisa ukwephulwa okukhulu emzimbeni. Uma kutholakala kabili okweqile, udokotela uzokuthola ukukhuluphala. Uma kunqunyelwe ukusilela okukhulu, khona-ke ukuthuthukiswa kwe-insulin coma kungenzeka.
Kubaluleke kakhulu ukwazi inkomba eqondile ye-insulin ukuze ulawule inkambo ye-carbohydrate kanye ne-fat metabolism. Yile nkomba ebaluleke kakhulu ekunqumeni i-hypoglycemia, ikakhulukazi uma ikhula ngesikhathi sokukhulelwa.
Okubaluleke kakhulu kokuxilongwa inani le-insulin elinqunywe ku-plasma yegazi. Kwesinye isikhathi kuhlolwa kuyi-serum, noma kunjalo, ucwaningo olunjalo aluhlali lulungile, ngoba kuthinteka kakhulu ekwelapheni kwe-anticoagulant Ukuthola imiphumela efaneleke kakhulu, kunconywa ukuthatha isivivinyo sokubekezelela ushukela.
Amanani ajwayelekile walolu cwaningo afakwa etafuleni.
Isikhathi ngemuva kokudla ushukela, imizuzu. | I-insulin, i-mIU / l |
6 - 24 | |
30 | 25 - 231 |
60 | 18 - 276 |
120 | 16 - 166 |
180 | 4 - 18 |
I-Zero insulin egazini lomuntu ikhombisa ukukhula kwesifo sikashukela sohlobo 2. Imvamisa, inkambo yayo ihlanganiswa nokukhuluphala, ngenxa yokuthi ukubekezelela ushukela kuzokhubazeka kakhulu: ngemuva kokuthatha isixazululo, ukugxilisa ushukela wegazi kufinyelela kumanani awo wokugcina, ngemuva kwalokho akujwayelekile isikhathi eside.
Ukuntuleka kwe-insulin
Ngenxa yokugcwala okunganele kwe-insulin egazini lomuntu, izinga lakhe likashukela liyenyuka. Lokhu kuholela ekubulaweni kwezakhiwo zamaselula, ngoba azikwazi ukuqongelela inani elanele lezinto eziwusizo.
Izinqubo ze-Metabolic nazo ziyahlupheka, ukulingana kwamaprotheni namafutha kuyaphazamiseka. Imisipha nesibindi azitholi i-glycogen eyanele, yingakho i-metabolism ejwayelekile ingasekelwa.
Ukwephulwa okunjalo kungabonakala ngezimpawu ezilandelayo: umuntu uqala ukukhononda ngendlala engapheli, ukoma, ukuchama ngokushesha kanye nohlelo lwezinzwa oluthukuthele - impilo yakhe yimbi kakhulu. Abantu abaningi ababoni ukuphambuka okunjalo isikhathi eside, ngenxa yokuthi kuba nezinkinga ezinkulu.
Phakathi kwezimbangela zokunganele kwe-insulin egazini kungakhonjwa:
- Izifo ezithathelanayo kanye namagciwane;
- Indlela yokuphila yokwehlisa ukuthula;
- Ukuzivocavoca okukhulu kakhulu
- Ukulimala kobuchopho;
- Ukweqisa ngokomzwelo;
- Ukusetshenziswa kwemikhiqizo eyingozi;
- Ukudla kaningi;
- Isifo senhliziyo.
Uma wehluleka ukuqala ukwelashwa okuphelele nokuphelele esigabeni sokuqala, umuntu angaba nesifo sikashukela. Esimweni sokuxilongwa emazingeni okuqala entuthuko, ukuntuleka okunjalo kuvinjeka kalula ngokudla okunama-kilojoule alinganiselayo, ukwelashwa kwe-insulin ezibhebheni, kanye nezinye izidakamizwa ezibuyisa ama-pancreas.
Ungakhohlwa ngesidingo sokuhlala ugcina amandla omzimba, kanye nezidakamizwa ezihluza imithambo yegazi.
Ukweqile kwe-insulin
Izinga le-insulin ephezulu kakhulu egazini lomuntu nalo liyingozi enkulu. Ngenxa yokwephulwa okunjalo, ama-pathologies angathi sína avela emzimbeni, okuzoholela hhayi ezinkingeni ezinkulu, kepha futhi nokufa.
Uma ungaqali ukwelashwa kulokhu kuphambuka ngokuhamba kwesikhathi, umuntu uzobhekana nokukhula kwesifo sikashukela sohlobo 2 kungekudala. Kwenzeka ngenxa yokuthi izinhlaka zamaselula azivumeli i-insulin ukuthi idabule, ngenxa yokuthi ihlala isesigangeni segazi. Kuba yize, ngoba ayikwazi ukucubungula ukudla okungena emzimbeni.
Phakathi kwezizathu zokuthi i-insulin egazini ingakhuphuka kakhulu kunokwejwayelekile, kukhona:
- Ngokweqile;
- Ukwenza ezemidlalo, ukuzikhandla kanzima;
- Ukweqisa ngokomzwelo;
- Ukweqisa kwe-hormone yokukhula;
- I-Pathology yesibindi;
- Uhlobo 2 isifo sikashukela;
- Ukwakheka kwezimila ezithwini ze-adrenal;
- Ukwephulwa kwezindlala ze-adrenal;
- Ukuba khona kwama-insulinomas emzimbeni;
- Ukubekezelelwa kwe-insulin engasebenzi kahle;
- Umdlavuza we-pancreatic;
- I-ovary yePolycystic;
- Isifo Sendawo
Udokotela okhona kuphela ozokwazi ukusho ngqo ukuthi yini imbangela yokwanda kokuhlushwa kwe-insulin egazini. Uzoxilonga isikhathi eside, ngokususelwa lapho azofinyelela khona eziphethweni. Le ndlela ukuphela kwendlela yokunquma ukwelashwa okusebenzayo futhi okubanzi kwe-pathology.