![](http://img.diabetesentity.com/img/diab-2020/7061/visokij-insulin-pri-normalnom-sahare-prichini-netipichnoj-simptomatiki.jpg)
Ushukela wegazi ne-insulin zihlala zixhumene, ngakho-ke ukukhula komunye wabo kuholela ekwandeni kwesibili.
Kodwa-ke, kwesinye isikhathi abantu bahlangabezana nesimo se-atypical: i-glucose ijwayelekile, kepha i-hormone ayinjalo.
Kungani kuvela i-insulin ephezulu ngoshukela ojwayelekile, futhi nokuthi yini okufanele uyenze ngesimo se-pathological.
Ushukela wegazi kanye namazinga e-pancreatic hormone
I-insulin yi-hormone ekhiqizwa ama-pancreas enza imisebenzi eminingi ebalulekile:- iqhaza metabolism;
- inikeza amaseli ngamandla;
- i-ushukela wegazi evamile;
- inikeza izinqubo zokuvuselela nokuningi.
Uma izinga le-insulin liphambuka kokujwayelekile, lokhu kubonisa ubukhona benqubo ye-pathological okumele imiswe.
Ngaphandle kwalokho, usongo oluqondile empilweni nasempilweni yomuntu luyadalwa. Imikhuba incike eminyakeni yobudala futhi ingahluka.
Kwabesifazane abadala kanye nabesilisa
Ebantwini abaphilile, lapho kushesha igazi, izinga le-insulin kufanele libe ebangeni lamayunithi ama-3 kuye kwangama-20. Ukukhulisa amayunithi angama-25 kubhekwa njengokuvumelekile futhi akudingi ukulungiswa.
Abantu abanqamule ingqophamlando yeminyaka engama-60 banezindlela ezihlukile ezihlukile - amazinga e-insulin kufanele abe sebangeni lamayunithi ayi-6 kuye kwangama-35.
Amanani we-glucose emadodeni nakwabesifazane asebekhulile esiswini esingenalutho akumele yedlule ku-5.5 mmol / l. Ebudaleni, ukukhuphuka kuya ku-5.9-6.4 mmol / l kungenzeka, kepha, lo umkhawulo ophezulu ovumelekile.
Ukuthola isithombe esinqunyelwe, izinga likashukela kufanele lilinganiswe kaningana ngosuku: ekuseni, ngemuva kokudla, ntambama nakusihlwa.
Ezinganeni
Okuqukethwe kwe-insulin yegazi ezinganeni ezingaphansi kweminyaka engu-12 akufanele kudlule amayunithi angama-20.
Amazinga kashukela ajwayelekile ancike eminyakeni yobudala:
Iminyaka yobudala | Ushukela wegazi, mmol / l |
Kufika ku-2 | Alikho ngaphezulu kuka-4.4 |
2 kuye ku-6 | Alikho ngaphezulu kuka-5 |
6 nangaphezulu | Akudluli ku-5.5 |
Ngesikhathi sokukhulelwa
Isimo esikhethekile sabesifazane nezinguquko ezingathi sína ze-hormonal ezenzeka emzimbeni, ziholela ekushintsheni kwezinqubo zangaphakathi, kufaka phakathi i-metabolic.
Imvamisa kwabesifazane abakhulelwe yile:
- kusuka ema-6 kuye kuma-32 amayunithi - okuqukethwe yi-insulin;
- sisuka ku-3.3 kuya ku-6.6 mmol / l - izinga elijwayelekile likashukela egazini.
Umthelela wezinkomba komunye nomunye
I-insulin inesibopho sokuhambisa ushukela kuwo wonke izicubu zomzimba ngaphandle kwengqondo.
Uma ngesizathu esithile i-hormone inganele, khona-ke ushukela awuthunyelwa kumaseli ngesikhathi, obangela indlala yawo ebabazekayo.
Emzimbeni womuntu ophile kahle, i-insulin igcina ukugcwala okuzinzile kweglucose egazini, ngenxa yalokho, izinkomba zihlobene kakhulu.
Lapho umuntu edla ukudla okumnandi noma okune-carbohydrate, ushukela omningi ungena egazini, ephendula lokhu, amanyikwe azama “ukukhipha” ingxenye enamandla ye-insulin, eholela ekwandeni kwezinga layo.
Ushukela ujwayelekile futhi i-insulin iphakeme: kusho ukuthini
Kunezizathu eziningi zokuthi kungani ukungasebenzi kahle emzimbeni kwenzeke, ngenxa yalokho, i-insulin iqala ukukhula, futhi ushukela uhlala uvamile. Okuvame kakhulu kubo ukungondleki, yingakho ngesibonelo salokhu ukuthi sizohlaziya indlela yokwakhiwa kwe-pathology.
Ngakho-ke, lapho amakhekhe, ama-khekhe namazambane athosiwe enoshukela omnandi engena esiswini, kukhiqizwa ushukela lapho uqhekeka. Ukusebenza kwayo kudinga inani elithile le-insulin.
“Izinto ezilimazayo” ezingena emzimbeni, lapho ziqina kakhudlwana i-pancreas ukukhulisa i-hormone yokunciphisa ushukela. Futhi uma ekuqaleni umzimba ubona ukwanda kokuhlanganiswa kwe-insulin njengokuthile okungajwayelekile, lapho-ke ngokuhamba kwesikhathi kuvela "umkhuba", bese kukhiqizwa ngokwengeziwe. Futhi isizathu esiyinhloko ukudla okungenangqondo okungenangqondo. Lesi simo sibizwa ngokuthi ukuncika kwe-insulin.
Kungani i-hyperinsulinism yenzeka nge-glucose ejwayelekile yegazi
Sibala izizathu eziphambili:
- Isigaba sokuqala sokukhuluphala.
- Isigaxa esincike kuHormone esibindini (insulinoma).
- Isigaba sokuqala sohlobo 2 sikashukela.
- I-Neoplasms kuma-ovari.
- Ukukhulelwa
- I-Neuromuscular dystrophy.
Izimpawu ze-pancreatic hormone egazini
Kungenzeka usole ukuthi i-insulin iphakanyiswa yilezi zimpawu ezilandelayo:
- ukukhathala;
- ngisho nangemva kokudla okunempilo, indlala ibuya ngokushesha;
- emva kokushoda komoya okulula;
- izithukuthuku ezisindayo zikhona;
- ukulunywa kwesikhumba kungenzeka;
- amanxeba nokuhlukumezeka kuphulukisa kancane futhi kancane;
- iminyakazo emilenzeni;
- ukukhubazeka okukhubazekile nekhono lokugxila;
- ukuqina kwesisindo;
- Ubuhlungu bemisipha buyaphazamisa ngezikhathi ezithile.
Ungayithoba kanjani i-insulin ephezulu ngoshukela wegazi ojwayelekile
Amazinga e-insulin akhuphukile ayingozi kakhulu empilweni, ngakho-ke lesi simo sidinga ukulungiswa ngokushesha. Udokotela we-endocrinologist ubandakanyeka ekuxilongeni nasekuphatheni lezo zimo.
Imvamisa abantu abaphethwe yizimpawu ze-hyperinsulinism bazama ukudonsela phansi ukubonakaliswa kwe-pathology ekhona (ukuthatha amaphilisi okucindezela, ikhanda, njl. Njl.) Bengazi nakancane ngakho. Ukuzelapha okunjalo kugcina esibhedlela usesimweni esibucayi.
Ukwelashwa kwezidakamizwa
Azikho izidakamizwa ezingasiza ukunciphisa i-insulin ushukela ojwayelekile.
Ezimweni eziningi, izinga eliphakeme le-hormone limane nje kuwuphawu lokuphazamiseka emzimbeni, ngakho-ke umsebenzi udokotela nesiguli ukuthola uhlobo lwe-pathology ukuze ukwazi ukuluqeda.
Ukulungiswa kwezokwelapha ngalesi sifo esingaphansi kunganciphisa izinga le-insulin emzimbeni ngesikhathi esifushane.
Ukudla
Kunikezwa imigomo elandelayo:
- Kuyadingeka ukubekezelela isikhathi eside phakathi kokudla. Ochwepheshe bancoma ukuzikhawulela ekudleni kabili noma kathathu ngosuku. Ngezikhathi ezinjalo, umzimba uchitha isikhathi ekutholeni ushukela, okunciphisa amazinga e-insulin.
- Kanye ngesonto kufanelekile ukwenza usuku lokulayisha - imenyu kufanele ibe namanzi kuphela.
- Kuyadingeka ukukhawulela ukusetshenziswa kwama-carbohydrate - i-pasta, isinkwa, i-muffin, amakhekhe, amakhukhi, iziphuzo ezinoshukela, ikhofi kanye netiye noshukela, njll.
- Kuyafaneleka ukuthi unikeze okuthandwa kakhulu ukudla okuphezulu ku-fiber - izithelo nemifino, okusanhlamvu, ama-legumes.
- Lapho ukhetha imifino esitolo, udinga ukuthenga lezo ezinenkomba ye-insulin ephansi (AI). Lesi sibalo sikhombisa ukuthi ingakanani i-hormone ekhishwa egazini lapho kudliwa inani elithile lomkhiqizo othile. Ihlise inkomba ye-insulin, okungcono. Ukuqamba ukudla okwenziwe ngemikhiqizo ene-AI ephansi, unganciphisa ngokushesha isilinganiso sesikhombi esihlaziywe egazini.
- Uma zingekho izingqinamba ezivela kwezinye izitho nezinhlelo, umthamo wotshwala ophuziwe ngosuku akufanele ube ngaphansi kwamalitha ama-2.
Ukuzivocavoca umzimba nokuzivocavoca
Ukuzivocavoca okwanele kunganciphisa amazinga e-insulin egazini ngesikhathi esifushane.Ukuhamba ngezinyawo kufanele kube nsuku zonke; esimweni sezulu esibi ungazijwayeza nge-treadmill noma ngebhayisekili.
Cishe izikhathi ezi-3-4 ngesonto, udinga ukuhlela ukuqeqeshwa, okuhlala okungenani ihora elilodwa. Uma likhona ithuba lokuzibandakanya ejimini, udinga ukukhetha ukuzivocavoca okusebenzayo kwezimo zasekhaya.
I-Physiotherapy isheshisa zonke izinqubo ze-metabolic emzimbeni, ithuthukise ukuguquguquka kwemizwa, ibuyisele ithoni ye-vascular, inciphise ushukela wegazi kanye ne-insulin, i-normalize function ye-adrenal, njll.
Izinhlobo zezinqubo ezithandwayo:
- IHydrotherapy (okugeza, okugeza, ama-saunas, ama-rubdowns).
- I-Electrophoresis (inqubo yezingxenye) isebenzisa uNo-shpa, uNovocaine nge-iodine, uPapaverine.
- IHydrotherapy.
- I-Magnetotherapy.
- Ukwelashwa kwe-Ultrasound.
- Okuxubile. Leli qembu lifaka amasu angavamile ukusetshenziswa - ukwelashwa kwe-ozone, i-acupuncture, nabanye.
Amakhambi esintu
Izitshalo ezilandelayo (ama-decoctions kanye ne-infusions ezivela kubo) zifakazele ukusebenza kahle ekunciphiseni i-insulin egazini:
- raspberries;
- umlotha wasentabeni;
- i-burdock izimpande;
- i-black elderberry;
- alfalfa.
Izinto ezomile ezingavuthiwe ngenani le-1 tbsp. uthele ngeglasi lamanzi abilayo, afakwa isikhathi esingangehora, elicwengekileyo. Thatha ingxenye yesithathu yengilazi, ngaphambi kokudla, amahlandla ama-3 ngosuku.
Izindlela ezimbili ezithandwayo:
- 3 tbsp imvubelo eyomile uthele amanzi abilayo futhi uvumele ukuvuvukala isigamu sehora. Thatha le ngxube ngemuva kokudla. Inkambo: kuze kube ngamaviki ambalwa;
- uletha ubilise amagremu ayi-100 ama-stigmas ommbila no-250 ml wamanzi. Phikelela amahora amabili, thatha kathathu ngosuku, ngaphambi kokudla, uhhafu wengilazi.
Ngaphandle kokubukeka okulula, ukwehlisa amazinga we-insulin ngokwakho akunconywa. Okokuqala, kubalulekile ukukhomba kahle izimbangela zalesi simo. Okwesibili, ngokwelashwa okunganele, izinkinga eziyingozi empilweni nasempilweni zingakhula isikhashana.