Ungayikhulisa kanjani i-insulin (noma kunalokho, izinga layo), ekhiqizwa yi-pancreas emzimbeni womuntu? Lo mbuzo uvame ukukhathaza abantu abane-Type 1 sikashukela mellitus, lapho inani lama-hormone akhiqizwayo alanele ekuqhekekeni okuvamile koshukela egazini. Ngeshwa, akunakwenzeka ukwenza ngokuphelele ukukhiqizwa kwayo futhi wenze ngaphandle kwemijovo ye-insulin kuleli cala. Njengoba indlela enkulu yokwelapha isifo sikashukela esincike ku-insulin ukwelashwa komjovo, zonke izindlela zokwandisa ukukhiqizwa kwe-insulin yakho zihlobene namadivayisi okusiza.
Ukwenza ngcono ukusebenza kwamanyikwe futhi ukhuphule izinga lamahomoni akhiqizwa ngalo, ungasebenzisa ukudla. Imithi nezindlela zokwelapha ezenzelwe abantu kuleli cala zisiza ngokungaqondile, kepha kaningi zisetshenziswa njengezokwelapha ezisekelayo.
Ungayandisa kanjani ukuzwela kwezicubu ku-insulin?
Kwesinye isikhathi kuyadingeka ukukhuphula izinga le-insulin uqobo, okungukuthi, ukuzwela kwezicubu kuyo. Ku-mellitus yesifo sikashukela, ukuhlukahluka kokuthuthukiswa kokuphazamiseka kwe-endocrine kungenzeka, lapho i-insulin ikhiqizwa khona ngobuningi obanele, kepha impendulo yezicubu kuyo iyenanela. Ngenxa yokwephulwa kwalokhu kusabela, i-glucose ayikwazi ukungena kumaseli, futhi umzimba uhlala udinga i-insulin ethe xaxa, edingekayo ekuqhekekeni kwayo. Ngenxa yalokhu, i-pancreas iyaphela futhi kunengozi yokushintshwa kwesifo sikashukela sohlobo 2 kube uhlobo olubi kakhulu. Lo mbuthano onesihluku ungaholela ekuwohlokeni okukhulu enhlalakahleni yesiguli, ukukhuphuka okuthe xaxa koshukela wegazi nokukhula kwezinkinga zesifo sikashukela.
Kungenzeka wehlise ukumelana ne-insulin (isb. Ukumelana kwezicubu kuleli hormone), ngenxa yezinyathelo ezilandelayo:
- ukunamathela ekudleni okuphansi kwe-carb;
- ukwenza izivivinyo zokwelapha ngokomzimba;
- ukuthatha imishanguzo yokusekela;
- ukuncipha.
Kunzima impela ukulandela ukudla okune-carb ephansi, kepha ngayo ungathola imiphumela emihle - ulahlekelwe ngamakhilogremu amaningi, uthuthukise umsebenzi we-pancreatic, uguqule ushukela wegazi kanye nokuqina kwe-insulin ephansi. Isazi se-endocrinologist kuphela esinganquma isikhathi sokudla okunjalo okuqinile, ngoba konke kuncike ezimweni zomzimba wesiguli ngamunye. Imvamisa, lapho isimo sithuthuka, isiguli sivunyelwe ukushintshela ekudleni okulinganiselayo, lapho ungadla khona izithelo nezithelo ezinenkomba ye-glycemic ephansi noma naphakathi.
Ukuzivocavoca umzimba kuyingxenye edingekayo yokwelashwa okuyinkimbinkimbi yesifo sikashukela, izinhlobo zokuqala nezimbili. Ukuzivocavoca kufanele kube lula, kukhethiwe, kucatshangelwa ubudala nobunzima besiguli. Ngokwanda kwe-insulin egazini, ushukela uyancipha, futhi ukuzivocavoca komzimba kungasiza kakhulu kulokhu.
Ngabe imithi ingasiza?
Ngokusho kwesimo seWorld Health Organisation (WHO), inani labantu abanesifo sikashukela lizokwenyuka minyaka yonke. Lokhu kungenxa yokusebenzisa isamba esikhulu ushukela ocoliweyo, amafutha kanye nokuntuleka komzimba. Uhlobo 1 lwesifo sikashukela luyifa, ngakho-ke, uma abazali bekutholakale ukuthi banokuphazamiseka emgodini we-carbohydrate metabolism, ingane idinga ukuhlolwa okuhleliwe njalo ngonyaka kanye nokuhlolwa okujwayelekile kokuvikelwa kwe-endocrinologist.
Ngeshwa, ayikho imithi engasiza ukuthi ama-pancreas akhiqize i-insulin ngesilinganiso esifanele. Kungakho ukuphela kwendlela yokwelashwa kwesifo sikashukela sohlobo 1 ngokusebenzisa imijovo ye-insulin eqhubekayo. Kwesinye isikhathi, ukusekela ezinye izitho nezinhlelo zesifo sikashukela, kungenziwa ngemithi yamaqembu alandelayo:
- imithi ethuthukisa i-microcirculation yegazi;
- amavithamini kanye nezakhiwo zamaminerali;
- izidakamizwa ze-nootropic (izidakamizwa zokuthuthukisa ukusebenza kwengqondo);
- imishanguzo ye-antihypertensive (ebekelwe umfutho wegazi ophakeme).
Uma isiguli siqala ukukhuluphala ngokweqile kwesizinda sikashukela i-mellitus, noma singaphumeleli ukunciphisa umzimba ngokudla nokuvivinya umzimba, udokotela angancoma ukuphathwa kwesikhashana kwemikhiqizo esekwe nge-metmorphine. Imithi edume kakhulu enale nto esebenzayo ekwakhiweni kwayo yiGlucophage neSiofor. Abalikhulisi inani le-insulin ekhiqizwayo, kepha bandisa isilinganiso se-insulin ye-bioava ekhona kuma-proinsulin (ifomu layo elihambisana nalo, lapho leli hormone lingathinti khona umsoco). Ngaphambi kokuqokwa kwabo, iziguli zihlala zivivinywa kaninginingi, ngoba ukuze kusetshenziswe noma yisiphi isidakamizwa kumele kube nezimpawu.
Amakhambi esintu
Kuhlobo lwesifo sikashukela sohlobo 1, amakhambi abantu awanakuphindisela ukwelashwa kokudla kanye ne-insulin. Kepha ngemuva kokubonisana nodokotela, bangasetshenziswa ukuvikela umzimba kanye nokwenza ngcono ukukhiqizwa kwe-insulin. Akunakwenzeka ukusebenzisa noma yimuphi umuthi ongewona owendabuko ngaphandle kokuya kuchwepheshe - ukuzelapha abantu abanesifo sikashukela kuyaphulwa, ngoba amanye amakhambi nezitshalo kungaba nomphumela oyingozi.
Ngoshukela omningi nokukhiqizwa kwe-insulin okwanele, enye indlela yokwelapha iphakamisa ukusebenzisa izindlela ezinjalo:
- i-decoction ye-stigmas yommbila (1 tbsp. l izinto zokusetshenziswa ezingulube ngo-500 ml wamanzi abilayo, athathwe ngemuva kokudla, ama-50 ml izikhathi ezingama-2-3 ngosuku);
- ukumiliselwa kwe-verbena (1 tbsp. amakhambi engilazini yamanzi abilayo, thatha ama-30 ml izikhathi ezine ngosuku);
- ukumiswa kwe-rosehip (1 tbsp. l. izithelo ngama-200 ml wamanzi abilayo, phuza u-100 - 200 ml kathathu ngosuku ngaphandle kokufaka ushukela noma okunye esikhundleni).
Izidakamizwa ezifanayo zingasetjenziswa njengokwelapha okuhlanganisa isifo sikashukela i-insipidus. Isifo sikashukela yisifo se-endocrine esingahambisani nokukhiqizwa kwe-insulin. Ekuqaleni, kubonakala ngezimpawu ezifanayo kakhulu: isiguli siphuza uketshezi oluningi ngenxa yokoma okungabekezeleleki, futhi siqala ukukhathazeka ngokuchama kaningi. Kepha ngokungafani nesifo sikashukela, izinga likashukela egazini kulokhu likhuphuka. Lapho uhlaziya umchamo ezigulini ezinjalo, kwehla ukwehla kobukhulu bawo, futhi nezinga le-uric acid liyanda egazini.
Njengoba indlala yezinso ne-endocrine (i-pituitary gland) ihlushwa isifo sikashukela, amakhambi esintu kungenzeka kungabi ukuphela kwendlela yokwelashwa. Lesi yisifo esisehlelweni esidinga ukuxilongwa ngokuphelele, ukuqashwa kweziguli nokuxhaswa okugcwele kwezokwelapha.
Ukuhlaziywa kokuthola inani le-insulin egazini lesiguli alichaziwe kaningi njengokulinganisa okujwayelekile ushukela. Iqiniso ngukuthi izinga lale hormone ngokwayo alibalulekile ikakhulukazi ezinhlelweni zokuxilonga. Ngokuya ngohlobo lwesifo, ukuba khona noma ukungabikho kwezinkinga, ubudala kanye nomzimba wesiguli, ezimweni eziningi kungacatshangelwa ngaphandle kokuhlaziywa ukuthi i-insulin iyanda noma inciphile. Akunakwenzeka ukuyikhulisela emananini omzimba nezidakamizwa, ngakho-ke ukwelashwa kwesifo sikashukela sohlobo loku-1 kuncishiswa ekwelashweni kwe-insulin nokunomsoco ofanele, futhi ngohlobo lwesibili lwalesi sifo, isiguli sinconywa ukuba sinamathele ekudleni okuqinile futhi senze njalo ngokuvivinya umzimba okulula.