Izifo eziningi ezingamahlalakhona zivame ukwandulela ukuqala kwesifo sikashukela.
Isibonelo, i-hyperinsulinemia ezinganeni nakubantu abadala iyatholakala ezimweni ezingavamile, kepha ikhombisa ukukhiqizwa ngokweqile kwehomoni engavusa ukwehla kwamazinga kashukela, ukubulawa yindlala komoya kanye nokungasebenzi kwawo wonke amasistimu angaphakathi. Ukuntuleka kwezindlela zokwelapha okuhlose ukucindezela ukukhiqizwa kwe-insulin kungaholela ekwakhiweni kwesifo sikashukela esingalawulwa.
Izimbangela ze-pathology
I-Hyperinsulinism ku-terminology yezokwelapha ithathwa njenge-clinical syndrome, ukuvela kwayo kwenzeka ngokumelene nesizinda sokwanda ngokweqile kwamazinga e-insulin.
Kulesi simo, umzimba wehlisa inani le-glucose egazini. Ukuntuleka koshukela kungavala indlala yomoya-mpilo, okungahle kuholele ekusebenzeni kwesistimu yezinzwa.
I-Hyperinsulism kwezinye izimo iqhubeka ngaphandle kokubonakaliswa okukhethekile komtholampilo, kepha imvamisa lesi sifo siholela ekudakwiseni kakhulu.
Izinhlobo zesifo:
- I-Congenital Hyperinsulinism. Kususelwa kusandiso sofuzo. Lesi sifo sikhula siphikisana nesizinda sezinqubo ze-pathological kuma-pancreas aphazamisa ukukhiqizwa okujwayelekile kwamahomoni.
- I-Hyperinsulinism Yesibili. Leli fomu liyaqhubeka ngenxa yezinye izifo ezidale ukucekelwa ngokweqile kwehomoni. I-Hyperinsulinism esebenzayo inezimpawu ezihlanganiswa ne-carbohydrate metabolism engasebenzi kahle futhi zitholwa ngokunyuka okungazelelwe kokuhlushwa kweglucose yegazi.
Izici ezibalulekile ezingadala ukwanda kwamazinga ama-hormone:
- ukukhiqizwa kwamaseli we-pancreatic we-insulin engafanele ngesakhiwo esingajwayelekile esibonwa ngumzimba;
- ukumelana okungenampilo, okuholela ekukhiqizweni kwama-hormone okungalawulwa;
- ukuphambuka ekuthuthweni koshukela egazini;
- ukukhuluphala;
- isifo sokuqina kwemizwa;
- isiphetho sofuzo;
- i-anorexia, enemvelo ye-neurogenic futhi ehlotshaniswa nomcabango wokubona ngokweqile kwesisindo somzimba;
- izinqubo ze-oncological emgodini wesisu;
- ukungondleki nokudla okungenakulinganiswa;
- ukuhlukunyezwa kwamaswidi, okuholela ekwandeni kwe-glycemia, futhi, ngenxa yalokho, ukwanda kokuqashelwa kwe-hormone;
- i-pathology yesibindi;
- Ukwelashwa kwe-insulin okungalawulwa noma ukuphuza ngokweqile kwezidakamizwa ukwehlisa ukugxila kwe-glucose, okuholela ekubukekeni kwe-hypoglycemia yezidakamizwa;
- i-endocrine pathologies;
- inani elanele lezinto ze-enzyme ezibandakanya izinqubo ze-metabolic.
Izimbangela ze-hyperinsulinism kungenzeka zingazivezi isikhathi eside, kepha ngasikhathi sinye zibe nomthelela omubi emsebenzini womzimba wonke.
Amaqembu anobungozi
Amaqembu alandelayo abantu avame ukuthinteka kakhulu ngokwakhiwa kwe-hyperinsulinemia:
- abesifazane abanesifo se-ovary polycystic;
- abantu abanefa lofuzo lwalesi sifo;
- iziguli ezinenkinga yokusebenza kohlelo lwezinzwa;
- abesifazane ngosuku olwandulela ukuya esikhathini;
- abantu abadala
- iziguli ezingasebenzi;
- abesifazane nabesilisa abathola ukwelashwa kwe-hormone noma izidakamizwa ze-beta-blocker.
Izimpawu ze-Hyperinsulinism
Lesi sifo sinomthelela ekwandeni okubukhali kwesisindo somzimba, ngakho-ke ukudla okuningi akusebenzi. Amadiphozi abesifazane akhiwa endaweni okhalweni, kanye naseziswini zesisu. Lokhu kubangelwa idepho enkulu ye-insulin egcinwe ngendlela yamafutha athile (triglyceride).
Ukubonakaliswa kwe-hyperinsulinism kufana kakhulu nezimpawu ezikhula ngemuva kwesizinda se-hypoglycemia. Ukuqala kokuhlaselwa kubonakaliswa ukwanda kokudla, ubuthakathaka, ukujuluka, i-tachycardia kanye nomuzwa wendlala.
Kamuva, isimo sokwethuka sijoyina lapho ubukhona bokwesaba, ukukhathazeka, ukuthuthumela emilenzeni kanye nokufutheka kuyaphawulwa. Bese kuba nokudideka emhlabathini, ukukhubazeka emilenzeni, ukubonakala kokuhlaselwa kungenzeka. Ukuntuleka kokwelashwa kungaholela ekulahlekelweni kokungazi kahle komzimba.
Izimo zokugula:
- Easy. Kubonakala ngokungabi bikho kwezimpawu ezikhathini eziphakathi kokuquleka, kepha ngasikhathi sinye kuyaqhubeka nokuthinta ngokomzimba i-cortex e-cerebral. Isiguli siphawula ukwanda kwesimo okungenani isikhathi esingu-1 phakathi nenyanga yekhalenda. Ukumisa ukuhlaselwa, kwanele ukusebenzisa imishanguzo efanele noma ukudla ukudla okumnandi.
- Okuphakathi. Imvamisa yokuhlaselwa kaningi ngenyanga. Umuntu angaquleka ngalesi sikhathi noma awele ekhefini.
- Isindayo. Leli degree lalesi sifo lihambisana nokulimala kwengqondo okungaphenduki. Ukuhlaselwa kuvame ukwenzeka futhi cishe njalo kuholela ekulahlekelweni kwemizwa.
Ukuboniswa kwe-hyperinsulism empeleni akufani ezinganeni nakubantu abadala. Isici phakathi kwalesi sifo ezigulini ezisencane ukuthuthukiswa kokuqunjelwa phansi kwesizinda se-glycemia ephansi, kanye nokuvama okuphezulu kokuphindeka kwabo. Umphumela wokuqhuma okuqhubekayo nokusizakala okujwayelekile kwalesi simo ngezidakamizwa ukwephula impilo yengqondo ezinganeni.
Lesi sifo siyingozi ini?
Noma yikuphi i-pathology kungaholela ezinkingeni uma kungekho sinyathelo esithathwa ngendlela esifike ngesikhathi. I-Hyperinsulinemia ayihlukile, ngakho-ke, nayo ihambisana nemiphumela eyingozi. Lesi sifo siqhubeka ngezindlela ezingelapheki futhi ezingalapheki. I-Passive course iholela ekuchithekeni kokusebenza kobuchopho, kuthinta kabi isimo se-psychosomatic.
Izinkinga ezinkulu:
- ukuphazamiseka ekusebenzeni kwezinhlelo nezitho zangaphakathi;
- ukuthuthukiswa kwesifo sikashukela;
- ukukhuluphala
- coma
- ukuphambuka emsebenzini wesistimu yenhliziyo;
- i-encephalopathy;
- parkinsonism
I-Hyperinsulinemia eyenzeka ebuntwaneni ithinta kabi ukukhula kwengane.
Ukuxilonga
Ngokuvamile kunzima ukubona lesi sifo ngenxa yokungabikho kwezimpawu ezithile.
Uma ukuthikamezeka kwenhlala kahle kutholakele, ukubonisana nodokotela kuyadingeka, okungcacisa umthombo walesi simo usebenzisa lezi zivivinyo zokuxilonga ezilandelayo:
- ukuhlaziywa kwama-hormone akhiqizwa i-pituitary gland and pancreas;
- I-Pituitary MRI ukukhipha i-oncology;
- I-Ultrasound yesisu;
- ingcindezi yokulinganisa;
- ukuhlola i-glycemia.
Ukuxilongwa kusekelwe ekuhlaziyweni kwemiphumela yokuhlolwa kanye nezikhalazo zeziguli.
Ukwelashwa kwezifo
Ukwelashwa kuncike ezicini zenkambo yesifo, ngenxa yalokho, kuyahluka ngezikhathi zokuxwayezelana nokuxolelwa. Ukumisa ukuhlaselwa, ukusetshenziswa kwezidakamizwa kuyadingeka, futhi isikhathi esanele sanele ukulandela indlela odla ngayo futhi welaphe i-pathology eyisisekelo (isifo sikashukela).
Siza ngokwanda:
- udle ama-carbohydrate noma uphuze amanzi amnandi, itiye;
- faka isixazululo se-glucose ku-jet ukusimamisa isimo (inani elikhulu - isikhathi esingu-100 ml / 1);
- lapho kuqala ukomisa, kufanele kwenziwe ushukela we-intravenous;
- uma kungekho ngcono, kufanele kunikezwe umjovo we-adrenaline noma i-glucagon;
- faka izibambiso zokuzola.
Iziguli ezisesimweni esibucayi kufanele ziyiswe esibhedlela futhi zilashelwe ngaphansi kokuqashwa kodokotela. Ngezilonda ze-organic of gland, kungenzeka ukuthi kudalwe kabusha isitho nokungenelela okuhlinzayo.
Ukudla kwe-hyperinsulinemia kukhethiwe kucatshangelwa ubunzima besifo. Imvamisa futhi kunzima ukuyeka ukudonsa kuhlanganisa ukuba khona kwenani elikhulayo lama-carbohydrate ekudleni kwansuku zonke (kufika ku-450 g). Ukusetshenziswa kwamafutha nokudla kwamaprotheni kufanele kugcinwe ngaphakathi kwemikhawulo ejwayelekile.
Ekhambweni elijwayelekile lesifo, inani elilinganiselwe lama-carbohydrate atholwe ngokudla ngosuku akufanele libe ngaphezulu kwama-150 g. Amaswidi, i-confectionery, utshwala kufanele bungafakwa ekudleni.
Ividiyo evela kusazi:
Izincomo zokuvimbela
Ukuze wehlise ukubonakaliswa kwe-hyperinsulinemia, kubalulekile ukuthi ubheke njalo isifo sikashukela futhi ulandele izincomo eziphambili:
- yidla ngokwengxenye nangokulinganisela;
- hlola njalo izinga le-glycemia, ulungise uma kunesidingo;
- gcina uhlobo lokudakwa oludingekayo;
- phila impilo enempilo nenempilo.
Uma ukukhiqizwa ngokweqile kwe-insulin kwaba umphumela wesifo esithile, khona-ke ukuvimbela okuyinhloko kokuthuthukiswa kokuthathwa kwenhliziyo kuncishiswa ekwelapheni i-pathology, esebenza njengesizathu esiyinhloko sokubukeka kwabo.
