Cishe zonke izicubu zomzimba womuntu zidonsa i-glucose ngenxa ye-insulin. Ukungazinaki kwabo kule hormone kunemiphumela emibi. Ukugwema i-hyperglycemia nesifo sikashukela i-mellitus, kuyadingeka ukubona lesi simo esiyingozi ngesikhathi bese uqala ukwelashwa. Kuyini ukumelana ne-insulin, ukuthi ungayibona kanjani nokuthi yini okufanele uyenze kulesi simo ichazwe kule ndaba.
Yini le
Ukungena kwe-insulin kuchazwa njengokuncipha kokuphendula kwezicubu kuyo, okuholela ekukhupheni kokuphepha okuthe xaxa kwaleli hormone ngama-pancreas. Kepha njengoba amangqamuzana engaphenduli i-insulin futhi engakwazi ukuyisebenzisa ngezinhloso zawo, izinga likashukela wegazi likhuphuka ngaphezu kokujwayelekile. Lesi simo siba esingapheli futhi sibe yingozi enkulu empilweni, ngoba kuholela kwisifo sikashukela.
Uhla lwesenzo se-insulin alukhawulelwe ekusizeni umzimba ukuthola ushukela - lubandakanyeka ekuthambekeni kwamafutha namaprotheni, ukulawulwa kwenqubo yokukhula, ukwakheka kwe-DNA, kanye nokwahlukanisa izicubu nokubhalwa kofuzo. Yingakho ukumelana ne-insulin kubizwa nangokuthi yi-metabolic syndrome. Kuqondwa njengeqoqo lokuphazamiseka kwe-metabolic, okuthi, ngaphezu kwezinkinga zokuthathwa kwe-glucose, kufaka phakathi umfutho wegazi, ukukhushulwa kwegazi okwandisiwe, ingozi yokuthola i-atherosclerosis nesifo senhliziyo.
Izizathu
Kungani i-insulin iyeka ukuthinta amangqamuzana izicubu? Impendulo ecacile yalo mbuzo ayikatholakali, njengoba ucwaningo lusaqhubeka. Okwamanje, izimbangela eziphambili zokungamelana yilezi:
- ukwephulwa kwekhono le-insulin lokucindezela ukukhiqizwa kwe-glucose esibindini, kanye nokukhuthaza ukuthathwa kwama-carbohydrate yizicubu ze-peripheral;
- ukwephulwa kokusetshenziswa kwe-insulin okuvuswe insulin yizicubu zomzimba (izicubu zomuntu onempilo “zishisa” cishe ushukela oyi-80% oshukela);
- ukukhuluphala, noma kunalokho, ama-hormone akhiwa emafutheni esiswini;
- ukondleka okungalingani;
- ukudla amanani amaningi ama-carbohydrate;
- isakhi sofuzo;
- indlela yokuphila yokuhlala (ukuntuleka kwemisipha kuholela ekwehleni kokuzwela kwamangqamuzana ukuya ku-insulin);
- ukuthatha imishanguzo ethile;
- ukungalingani kwe-hormonal.
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu.jpg)
Amaqembu anobungozi
Amathuba okukhula kwe-insulin kwanda kulezi zimo ezilandelayo:
- ukuba khona kwe-atherosclerosis, umfutho wegazi ophakeme noma uhlobo 2 sikashukela ezihlotsheni eziseduze;
- isifo sikashukela sokukhulelwa kwabesifazane ngesikhathi sokukhulelwa;
- i-polycystic ovary;
- isifo sikashukela sikashukela;
- amazinga aphansi we-cholesterol "enhle";
- i-hypertriglyceridemia - ama-triglycerides aphezulu;
- ukuba khona kwesisindo ngokweqile, ukukhuluphala esiswini;
- i-arterial hypertension;
- i-microalbuminuria;
- Iminyaka yesiguli kusuka eminyakeni engama-40;
- ukubhema; ukusebenzisa kabi utshwala;
- ukungondleki, ukungondleki.
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu-2.jpg)
Kaningi, ukungakwazi kwezicubu ukubona i-insulin kuhambisana nezindlela ezilandelayo:
- I-Itsenko-Cushing's syndrome;
- i-hypothyroidism;
- i-thyrotooticosis;
- i-acomegaly;
- ukungazali
Izimpawu
Ngeshwa, ukuthembela enhlalakahleni kuphela, kunzima kakhulu ukusola ukuthuthukiswa kokumelana ne-insulin, kepha i-pathology isenezimpawu ezithile:
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu-3.jpg)
- Kunzima kumuntu ogulayo ukugxila; ukwazi kwakhe kungathi kunamafu;
- ukozela kuyaphawulwa, ikakhulukazi ngemuva kokudla;
- ukuqhakaza kuyabonakala, ngoba amagesi amathumbu akhiqizwa ngokuyinhloko kusuka kuma-carbohydrate;
- iningi labantu elihlushwa ukumelana ne-insulin libonakala likhulu ngokweqile esifundeni sesisu;
- ushintsho esikhumbeni kungenzeka - i-acanthosis emnyama. Izindawo zesikhumba entanyeni, ngaphansi kwezinduna ezincelisayo, ezinqeni zithola imibala egcwele ngokweqile, ziba nombimbi kakhulu futhi ziqinile lapho uthintwa;
- ngesinye isikhathi abesifazane bangabona izimpawu ze-hyperandrogenism;
- umfutho wegazi uvame ukwanda;
- kukhona ukudangala;
- kukhona umuzwa ocishe ube njalo wendlala.
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu-4.jpg)
Ukuxilonga
Ukuqinisekisa ukumelana kwezicubu kwe-insulin, kufanele uphumelele ukuhlolwa okulandelayo:
- igazi nomchamo kashukela;
- igazi le-cholesterol "enhle";
- igazi ukuya ezingeni lama-triglycerides (amafutha angathathi hlangothi, angumthombo wamandla wamaseli wezicubu);
- ukuhlolwa kokukhuthazelela ushukela - kwembula ukuphazamiseka kwamuva kwe-carbohydrate metabolism;
- ukuhlolwa kokubekezelelwa kwe-insulin - lokhu kuhlola kukuvumela ukuthi unqume izinga lama-STH nama-ACTH ngemuva kokuphathwa kwe-insulin;
- ngaphezu kwalokho, udinga ukukala umfutho wegazi.
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu-5.jpg)
Ucwaningo oluthembekile kunabo bonke uvivinyo lwama-hyperinsulinemic clamp, olwenza ukuthi kungagcini nje ukukhomba ukumelana ne-insulin, kodwa futhi nokuthola imbangela yako. Kepha izivivinyo ezinjengalezi zenziwa kuyaqabukela, ngoba zilukhuni kakhulu futhi zidinga imishini ekhethekile kanye neziqu ezengeziwe zabasebenzi.
Ukulimala kwezicubu kwe-insulin kuboniswa ngu:
- ukuba khona kwamaprotheni emchameni;
- triglycerides ephakeme;
- ushukela wegazi ophakeme;
- cholesterol ephezulu "embi", nenkomba ephansi "enhle".
Ukwelashwa
Uma kuthathwa izinyathelo ezifika ngesikhathi ukuze kuqedwe izimbangela zokuphikisana ne-insulin, khona-ke ukuthuthukiswa kwayo ngeke kumiswe kuphela, kepha kubuye kubuye emuva. Okufanayo kuhamba nge-prediabetes, umngani ojwayele ukungabinayo insulin.
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu-6.jpg)
Imibandela yokulwa okuphumelelayo kokumelana yile:
- Ukwehla kwesisindo. Lokhu kuyisiqondiso esiyinhloko semizamo nemizamo yesiguli, ngoba i-metabolic syndrome ayikwazi ukwelashwa ngenkathi umuntu ephethe amaphawundi angeziwe.
- Ukubuyekezwa kokudla nokudla. Ungasusa isisindo ngokweqile ngokulungisa inani lamandla asetshenziswa ngokudla. Kufanele ubale amakhalori. Ngaphezu kwalokho, kuyadingeka ukwenza umsoco onempilo ube ngokwejwayelekile - lokhu kuzosiza ukugwema ukubangwa ushukela wegazi. Ukucwaninga okuningi nokuhlolwa kusikisela ukuthi ngokumelana ne-insulin, ukudla okune-carb ephansi kusebenza kakhulu. Kususelwa kwimifino, izithelo, okusanhlamvu okuphelele, inhlanzi, inyama ebusayo, amasamu namantongomane. Ama-carbohydrate ngeke ahambe noma kuphi ukusuka empilweni yomuntu olwa nesisindo ngokweqile kanye nokumelana ne-insulin, inani nje likashukela wokugaya kalula akufanele libe ngaphezu kwama-30% wesibonelelo sansuku zonke. Ngokuqondene namafutha, isabelo sabo ekudleni kwansuku zonke kokunciphisa umzimba siphansi kakhulu - i-10%.
- Ukuthatha imishanguzo edingekayo ebekwe udokotela wakho. Ukuze ukudla okuphansi kuma-carbohydrate kungalimazi umzimba, udokotela unquma amavithamini, amaminerali kanye nezithako zokudla okunempilo ezigulini. Lapho ubhekene noshukela wegazi ophakeme, udinga ukubhekisisa i-cholesterol yakho nomfutho wegazi.
- Ukuvivinya umzimba njalo. Akusizi kuphela ukwandisa ukuzwela kwezicubu kuya ku-insulin - kuzo zonke izindlela zokulwa nokulwa ne-insulin ne-hyperinsulinemia, ukuqeqeshwa kunomthelela obaluleke kakhulu. Ngokuncipha kwezicubu zemisipha, ukuhambisa ushukela emangqamuzaneni kusebenze kakhulu ngaphandle kokubamba iqhaza kwe-insulin. Ngemuva kwesilinganiso esithile sesikhathi ngemuva kokuqeqeshwa, kwethulwa inqubo yokusebenza kwehomoni, kuthi glycogen yemisipha esetshenziswe ngesikhathi sokuzivocavoca iphinde ivele ngokwemvelo. Umsebenzi osebenzayo wezicubu uphela ushukela ezicutshini, amaseli abe esekulungele ukuthatha i-insulin neglucose ukuze alulame. Ushukela wegazi ngokwemvelo uyancipha.
Iziphi izinhlobo zemithwalo ephumelela kakhulu?
Lokhu ikakhulukazi ukuqeqeshwa kwe-aerobic. I-cardiotraining yehora elilodwa nje kuphela yandisa ukuzwela kwamangqamuzana ukungena ku-insulin izinsuku ezingama-3-5 ezizayo. Kodwa-ke, kufanelekile ukukhumbula ukuthi ukubuyela esimeni sokuhlala phansi kuzothinta ushukela wegazi ngokushesha futhi kuholele ekwehlekeni okukhulu kokuzwela kwamangqamuzana ukuya ku-insulin.
![](http://img.diabetesentity.com/img/diab-2020/8121/rezistentnost-organizma-k-insulinu-7.jpg)
Ukuqeqeshwa kwamandla kungakhulisa nokuzwela kwe-insulin kanye namazinga kashukela aphansi. Ngasikhathi sinye, umphumela omuhle omuhle utholakala ngokuqhuba amakilasi aphezulu ngokwezindlela eziningi.
Ukugcina umthwalo olinganiselayo nokufakwa kwe-insulin ejwayelekile, kungcono ukuhlanganisa ukuqeqeshwa kwe-aerobic namandla. Udinga ukwenza njalo futhi wenze izindlela eziningana zokuzivocavoca ngakunye.
Ingozi yokuntenga insulin
Ukungazinaki izincomo zikadokotela kungaholela ekwakhiweni kwesifo sikashukela sohlobo 2, ukuvela kwezifo zenhliziyo kanye ne-atherossteosis. Uma kungalashwa, kunamathuba aphezulu wokuhlaselwa yisifo senhliziyo noma unhlangothi.
Ukumelana ne-insulin yisimo okungenzeka ukuthi siholele ekwakhiweni kwesifo sikashukela namanye ama-pathologies angathi sína. Ukuze ugweme imiphumela enjalo, kubalulekile ukukhawulela ukusetshenziswa kwe-carbohydrate “ekhanyayo,” uphila impilo esebenzayo futhi unikele njalo ngegazi ushukela.