I-diabetes mellitus - isifo esihambisana nokuhlukumeza i-pancreas kanye nokukhiqizwa kwe-insulin.
Ukuhlolwa kwegazi kwe-insulin kuzosiza ukuthola lesi sifo futhi kulungise nezinga lokuphambuka kwezinkomba kulokho okujwayelekile.
Kusho ukuthini ukuhlolwa kwe-insulin?
Ukutholwa kwesifo esifike ngesikhathi, umuntu kufanele aqaphe impilo alalele izimpawu zomzimba.
Ukugula okuncane okuhambisana nomlomo owomile noma ukulunywa kufanele kubangele ukuvakashelwa kudokotela womndeni.
Ukuqokwa kokuhlolwa ushukela kuzosiza ekunqumeni ukuphambuka ezibalweni zegazi, futhi nolwazi ngesimo esijwayelekile se-insulin egazini kuzosiza ukuqala ukwelashwa ngesikhathi futhi wenze impilo ibe ngcono.
Ngaphambi kokuqala inqubo, iziguli zenqatshelwe ngokuphelele ukuthi zingadli ukudla, ngoba ngayo imikhiqizo equkethe i-carbohydrate ekhulisa inqubo ejwayelekile yama-hormone ingena emzimbeni.
Uma umthamo we-insulin ungabukelwa phansi, kutholakala ukuthi isifo sikashukela, uma sanda ngokweqile, siyinto engathandeki noma siyalimala emzimbeni we-glandular.
I-insulin yinto eyinkimbinkimbi ebamba iqhaza ezinqubweni ezinjengokuthi:
- ukuphuka kwamafutha;
- ukukhiqizwa kwamaprotheni;
- carbohydrate metabolism;
- ukuqiniswa kwamandla we-metabolism esibindini.
I-insulin inomphumela oqondile kushukela wegazi. Ngibonga kuye, inani elifanele le-glucose lingena emzimbeni.
Izinkomba ze
Ukuhlaziywa kuzosiza ekuboneni izinkinga ezihambisana nokuhlanganiswa kwe-insulin. Ngokuvamile kunconywa ukuthola isifo sikashukela noma abesifazane abakhulelwe, ukuze kuqinisekiswe inkambo evumayo yokukhulelwa.
Izinkomba zokuhlaziywa yilezi:
- ukuba khona kwezimpawu okubonakalayo kwe-hypoglycemia (ukozela, ukukhathala okungapheli, i-tachycardia, indlala engapheli, i-migraines enesiyezi);
- ushukela, ukuze kutholakale uhlobo lwayo;
- thayipha isifo sikashukela esingu-2, ukukhomba isidingo semijovo ye-insulin;
- isifo se-pancreatic;
- ukuxilongwa kwama-neoplasms esitho se-glandular;
- Ukulawulwa kokubukeka kokubuyela emuva esikhathini se-postoperative.
Ukuhlolwa ushukela kuyadingeka ngokukhuphuka okubukhali kwesisindo ngokuzivocavoca kanyekanye ngasikhathi sinye, umuzwa wokuba wome futhi womile emlonyeni, ukoma ngokweqile kwesikhumba, ukubonakala kwemizwa emile ngokuqina, izitho zomzimba, nokwakheka kwezilonda ezingapholi.
Uma isiguli sinenye yalezi zimpawu, lokhu kuyisidingo sokuvakashela udokotela noma i-endocrinologist.
Ukulungiselela kanye nokulethwa kokuhlaziywa
Ukuze uhlaziyo lulunge ngokuphelele, udokotela obonayo kufanele ajwayeze isiguli ngemithetho yokulungiselela ukulethwa.
Iziguli zenqatshelwe ekudleni ukudla amahora angu-8 ngaphambi kokunikela ngegazi. Uma sikhuluma nge-biochemistry, isikhathi sokwenqatshwa kokudla sikhushulwa saba amahora angama-12. Indlela elula yokulungiselela ukwenqaba ukudla kusihlwa ukuze ihlaziywe ekuseni.
Ngaphambi kokunikela ngegazi, kwenqatshelwe ukuphuza itiye, ikhofi neziphuzo, ngoba kungenza kusebenze ukukhiqizwa kwe-hormone. Isilinganiso esiphezulu ongasiphuza ingilazi yamanzi. Ukuba khona kwetshungama emlonyeni nakho kungadlala indima engemihle ekuhlolweni.
Ngaphambi kokuthatha igazi, yenqaba ukuthatha imishanguzo yansuku zonke. Okuhlukile isimo esibucayi sesiguli. Ezimweni ezinjalo, izihlobo noma isiguli kufanele sazise umsizi waselebhu ngokuthatha izidakamizwa zethebhulethi ngegama lakhe eliphelele.
Ukunemba kokuhlaziywa kungathintwa yisikhathi sokwanda kwezifo, izifundo ze-X-ray noma i-physiotherapy.
Ukulungiselela ukunikela ngegazi kwe-insulin kufaka ukwenqatshwa kokudla okuthosiwe, okunamafutha, okunosawoti, okunosawoti noku okubhemayo ezinsukwini ezimbalwa.
Ngomnikelo ofanele wegazi nokuhlolwa okunembile, kuzodingeka imithetho elandelayo:
- ukuhlaziywa kunikezwa ekuseni esimweni sokulamba;
- Amahora angama-24 ngaphambi kokulethwa kwemithwalo yanoma yiluphi uhlobo ayenqatshelwe;
- Amahora ayi-12 ngaphambi kwenqubo, ukudla okuqukethe ushukela nokudla okungenampilo kufanele kulahlwe;
- Amahora ayi-8 ngaphambi kokulethwa - wenqaba ukuthatha noma yikuphi ukudla, ngaphandle kwengilazi yamanzi amaminerali;
- utshwala bunqatshelwe;
- Amahora angama-2-3 ngaphambi kokuhlola, yeka ukubhema.
Njengoba ukusebenza kokuhlaziywa akuxhomekeki kwimvelaphi ye-hormonal, ukunikela ngegazi kuvunyelwe ngesikhathi sokujikeleza kokuya esikhathini.
Ithebula lamanani ajwayelekile e-insulin
Ukusebenza kobudala / komzimba | Izinhlobo, μU / ml |
Abantu abadala ngaphandle kwezinkinga ze-pancreatic kanye nokuzwela okujwayelekile kwe-glucose receptor | 3-26 |
Izingane ezingaphansi kweminyaka engu-12 ubudala nama-pancreas ajwayelekile | 3-19 |
Izingane ezineminyaka engu-12-16 | 2.7-10.4 (+1 U / kg) |
Abesifazane abakhulelwe | 6-28 |
Abantu abadala | 6-35 |
Amazinga e-insulin egazi kubantu besifazane angancipha kancane ngesikhathi sokuya esikhathini futhi anda lapho ethatha izidakamizwa ze-hormonal.
Kusho ukuthini ukuphambuka kokujwayelekile?
Ukushintshwa kwezinga le-hormone ngendlela enkulu kungahlotshaniswa hhayi nama-pathologies kuphela, kepha nezimpawu zomzimba ngamunye.
Izizathu ezinkulu zokwanda yilezi:
- ukusebenza ngokweqile komzimba nokusebenza njalo, kudinga isidingo esengeziwe se-glucose;
- ukuvezwa isikhathi eside kwengcindezi nokudangalaisimo sezengqondo esingazinzile;
- izifo zesibindi, i-hepatitis yezinhlobo ezahlukahlukene, ehambisana ne-hyperinsulinemia;
- ushintsho lwe-atrophic kwezicubu zomzimba;
- umdlavuza wepancreatic;
- izifo zesistimu ye-endocrine;
- indlala yesikhumba;
- isifo se-thyroid;
- ushintsho olungaphenduki kwezicubu zesitho se-glandular;
- ukuba khona kwama-cysts kuma-ovari.
Izinga eliphakeme le-hormone livimbela ukwehla kwesisindo. Lesi simo siveza njengomuzwa ongapheli wokukhathala, indlala, ukukhubazeka kwemilenze nokungahlonishwa.
Ngokuncipha kokukhiqizwa kwe-insulin, isiguli sitholakala nesifo sikashukela mellitus. Lezi zinguquko zikhombisa ukungasebenzi kahle kwe-pancreatic, okungakhombisa ukuthuthukiswa kwesifo sikashukela sohlobo 1.
Kodwa-ke, ukwehla kwesilinganiso akuhlotshaniswa njalo nokuba khona kwesifo sikashukela. Kwesinye isikhathi lokhu kungenxa yendlela yokuphila engasebenzi, ukusetshenziswa ngokweqile kwamaswidi kanye nemikhiqizo kafulawa okuthinta kabi umsebenzi wesitho se-glandular, isimo esingokomzwelo sokuqina kwengqondo kanye nokuba khona kwesifo esithathelwanayo.
Ukuze kutholakale isifo esidalwa ukushintshwa okubukhali ngemuva kwesizinda se-hormonal, ukufundwa kwe-insulin ngokumelene nesizinda se-glucose nokunye ukuhlolwa kufanele kubhekwe.
Isibonelo salokhu ukuhlehlisa okulandelayo:
- uhlobo 1 sikashukela yi-insulin ephansi noshukela omningi;
- uhlobo 2 sikashukela - ushukela ophakeme kanye ne-insulin;
- isimila sendlala - inani eliphakeme le-insulin nengxenye yeshukela.
Izinto ezaziwayo zevidiyo yesayensi mayelana nemisebenzi ye-insulin emzimbeni womuntu:
Ngingangena kuphi futhi malini?
Ukuhlolelwa i-insulin kuchazwe ngudokotela wezifo zamazinyo, i-endocrinologist noma i-Therapist.
Kwenziwa esikhungweni sezokwelapha esine-elebhu ekhethekile kanye nama-reagents. Ngokwesicelo seklayenti, ukuhlaziya kungalethwa esikhungweni sokuxilonga ngaphandle kokudluliselwa.
Imitholampilo eminingi enelayisense inikezela ngezinsizakalo zokuhlola i-insulin. Ngaphambi kokuzisebenzisa, kunconywa ukuthi ufunde ngokucophelela uhlu lwamanani futhi uzijwayeze ngamanani. Izindleko eziphansi ngama-ruble angama-340. Kwezinye izikhungo zokuxilonga, kufinyelela kuma-ruble angama-900.
Intengo yokudla ifakiwe ezindlekweni zezinsizakalo. Umehluko wamanani uncike kuziqu zabasebenzi bezokwelapha kanye nesimo somtholampilo. Ngenxa yezaphulelo zabahola impesheni, abantu abakhubazekile nezinye izigaba zezakhamizi ezikhungweni ezithile zezokwelapha, ungathola isaphulelo ngokulethwa kwehomoni.