Munthu nthawi zina amakhala ndi vuto lofuna kudya zinazake zabwino komanso zopatsa mphamvu kwambiri. Amayi amamva kufunika kwa Mlingo wambiri wa chakudya chamagawo chachiwiri cha kusamba.
Madokotala amafotokozera izi chifukwa cha ntchito yam'mimba, yomwe imalephera kupanga mahomoni okwanira ndikusunga zomwe zili bwino. Chithunzicho chikuwonjezereka pamene kusala kukuyandikira.
Insulin Resistance ndi Syndrome X
Hemeni ya insulin ndiye anabolic wamkulu amene amachititsa kagayidwe kazachilengedwe m'thupi. Kuphatikiza apo, insulin imayang'anira zinthu zambiri:
- kuchuluka kwa shuga m'magazi;
- mafuta mawonekedwe.
Munthu amatha kufa chifukwa chosowa timadzi tambiri, chifukwa ndikofunikira kuti shuga asamayendetsedwe kuchoka m'magazi kupita ku maselo. Amagwiritsa ntchito ngati mafuta wamba komanso amachepetsa shuga m'magazi. Ngati ndi kotheka, ma triglycerides ophatikizidwa amagwiritsidwa ntchito ngati mphamvu.
Mosiyana ndi zotsatira za anabolic za testosterone (mahomoni akuluakulu amuna), omwe amagwiritsidwa ntchito popanga minofu ndi mafupa, insulin imasunga mafuta.
Hormoni iyi imathandizira kwambiri lipolosis (kutembenuza kwa michere kukhala mafuta) komanso choletsa champhamvu cha lipolysis (kusweka kwamafuta).
Chifukwa cha insulin, kuchuluka kwa minofu ndi mafuta kumachuluka. Ndi kukondoweza kwa insulin, kuchuluka kwamaselo am'mimba kumachepa ndipo kuchuluka kwa mafuta ochulukirapo kumawonjezeka.
Ndi insulin yochulukirapo, mkazi nthawi zonse amakhala ndi vuto lolemera, zomwe zimakhala zovuta kwambiri kuzichotsa, makamaka akadzakula.
Zizindikiro za insulin yowonjezera
Pali zizindikiro zina za kuchuluka kwa mankhwala a insulin:
- kupsinjika kosalekeza (mahomoni opsinjika - cortisol akukula);
- ntchito yambiri;
- chisokonezo cha kugona;
- kumwa pafupipafupi zakudya zopanda zakudya (zolemera zopanda chakudya);
- zolimbitsa thupi zochepa;
- chithokomiro chokwanira;
- kusowa kwa estradiol (mahomoni achikazi chachikulu);
- testosterone yapamwamba kwambiri (mahomoni achimuna).
Monga lamulo, ngati kuchuluka kwa shuga m'magazi kukwera, kuchuluka kwa insulini komwe kumafunikira kuti kusunthidwe kudutsa m'magazi kupita ku minofu kapena kumalo komwe kumapangidwira amapangidwa.
Popita nthawi, ndipo mafuta akamayikidwa, ma insulin receptors amayamba kugwira ntchito moipa. Ma mamolekyulu a shuga sangathe kudziphatika mokwanira. Izi zikachitika, ndiye kuti mutatha kudya shugayu amakhalabe okwanira. Cholinga chake ndikuti insulin, ngakhale ilipo m'magazi, ilibe cholinga.
Ma receptor amaubongo nthawi zonse amadziwa kuchuluka kwa shuga m'magazi ndipo amatumiza ma sign oyenera kwa kapamba kuti atulutsenso insulini yambiri kuti ikhale yolimba. Maselo ndi magazi zimasefukira ndi timadzi tating'onoting'ono, ndipo ndikangoyamba kugwira ntchito, glucose amafalikira thupi lonse, ndikupangitsa hypoglycemia.
Mu shuga mellitus, kusamva bwino kwa insulin kungawonedwe, komwe kumakulitsa kwambiri vutoli.
Kukana insulini
Resistance (kukana) ndi chikhalidwe pamene pali kuchuluka kwa insulini ndi shuga m'magazi. Pali kudziunjikira kwa glucose mwanjira yamafuta mmalo mwakugwiritsa ntchito ngati mphamvu. Chifukwa chakuti insulini ya mahomoni singakhale ndi vuto lililonse pogwira ntchito m'maselo a minofu, zotsatira za kusapeza chakudya choyenera.
Nthawi yomweyo, maselo alibe mafuta ofunikira, ndipo thupi limalandila zizindikiritso zanjala. Izi zimachitika ngakhale zili zokwanira ndi kuchuluka kwa shuga m'magazi.
Popita nthawi, chakudya chochulukirapo chimafunikira, ndipo chifukwa cha kuchuluka kwa insulini, mafuta amadzunjikira m'thupi, kunenepa kwambiri kumayamba kuonekera pang'onopang'ono ndipo kunenepa kwambiri kumayamba. Ngakhale kuyesera molimba mtima kusintha madimba a mafuta kukhala mphamvu yama minofu minofu sikumapereka zotsatira zofunika. Matendawa akamakula, mavuto akuchulukirachulukira amangokulira.
Mosazindikira kwenikweni za insulin, mkazi amakhala wokhazikika, ngakhale motsutsana ndi maziko a kuperewera kwa zakudya.
Kuphatikiza apo, insulin kukana kumakwiyitsa:
- kufooka kwakukulu kwa chitetezo chathupi, kuchititsa kufalikira kwamatenda;
- yogwira pophika zolembera pamitsempha yamagazi;
- kugunda kwa mtima
- kukulira kolimba kwa minyewa yosalala m'mitsempha, kuthandiza kuchepetsa magazi kupita ku ziwalo zofunika;
- kukakamira kwamapulatifomu kwambiri ndi chiopsezo chowonjezereka cha thrombosis (kuundana kwa magazi kumatha kupha).
Njira zofananira zamomwezi zimakhudza mitsempha yamagazi. Insulin yochulukirapo yolimbana ndi maziko a zinthu zochepa za estradiol amawonedwa ndi madokotala ngati mwayi waukulu wodwalitsa matenda a mtima ndi matenda oyamba.
Mavuto m'thupi amathandizira kukula kwa Syndrome X, matenda oopsa omwe amabwera chifukwa cha zovuta za metabolic. Monga lamulo, azimayi amadwala matendawa. Zimawonjezera kudziwikiratu kwa matenda ashuga ndi kufa.
Kuphatikiza Zizindikiro:
- insulin yowonjezera;
- kunenepa kwambiri, makamaka mchiuno ndi pamimba;
- kuthamanga kwa magazi;
- mafuta ambiri m'thupi;
- kuchuluka triglycerides.
Pa intaneti komanso magazini azachipatala mungapeze dzina lina - matenda W. Pansi pazomveka:
- onenepa kwambiri mwa akazi;
- m'chiuno kuzungulira masentimita 88;
- matenda oopsa
- kupsinjika kopitilira muyeso komanso kuda nkhawa.
Ngati estradiol ndiyabwino kwambiri, ndiye kuti zovuta zamavuto osakwanira kudziwa insulin zimachepa. Ichi ndichifukwa cha kuthekera kwa mahomoni achikazi kusintha zochita za insulin m'maselo a thupi. Kuperewera kwa izo kumakhala chifukwa chosakwanira kwa ntchito m'mimba mwake.
Mphamvu ya insulin pa zolandilira zamtunduwu umatha kusintha mu michere ya ovary, momwe kuchuluka kwa androgen kumawonjezeka. Nthawi yomweyo, mahomoni estradiol ndi estrone sangakhalebe osakwanira.
Ndi kuchuluka kwambiri kwa androjeni mthupi la mkazi, kusalinganika kwa mahomoni kumachitika ndipo mavuto okhala ndi insulin adzachitika. Kugwiritsa ntchito kwambiri insulini m'magazi, kumathandizira kwambiri ndikulimbikitsa kwa androjeni omwe amapangidwa ndi thumba losunga mazira. Bwalo loyipa ili ndilovuta kuthyola, ndipo mkazi amayamba kuchuluka chaka chilichonse. Kuwonjezeka kwa thupi pakati pa atsikana ndi amayi achichepere kumaonekera kwambiri. Njirayi imawonjezera mwayi wolumala.
Ngati insulin ya m'magazi ilibe kuchuluka mokwanira, ndiye kuti ikuwopseza kuti kuchuluka kwa shuga m'magazi kudzatsika.
Hypoglycemia ndi tsankho la shuga
Hypoglycemia iyenera kumvetsedwa ngati kuchuluka kochepa kwambiri kwa shuga m'magazi. Nthawi zambiri mkhalidwe wa pathological uku umakhudzana mwachindunji ndi zovuta zakukhazikitsa shuga wokwanira m'thupi. Madotolo amatcha kuti kusalolerako.
Zonsezi zosagwira bwino m'thupi ndizogawo zoyambira kwambiri za matenda ashuga. Dokotala atha kudziwa kuti hypoglycemia itaperekedwa kuti shuga m'magazi ali pansi pa 50 mg / dl. Nthawi zina, zizindikiro za hypoglycemia zitha kudziwikanso ndi kuchuluka kwa glucose, makamaka ngati zomwe zili zake zimachepa.
Chifukwa chakuti glucose ndi mafuta ofunikira m'maselo aubongo, ma receptor ake adapangidwa kuti achenjeze ziwonetsero zosakwanira za shuga (kuchepa kwake msanga kapena kutsika kwambiri).
Izi zikufotokozera chifukwa chake, ndi zizindikiro zoonekeratu za hypoglycemia, kuyezetsa shuga sikumatsimikizira, ndikuwonetsa shuga wamba. Mwachiwonekere kuti panali kugwa mwachangu mpaka gawo lovuta komwe ubongo umalandira alamu ngakhale kuchuluka kwa shuga sikokwanira.
Makina omwewo amagwira ntchito ndi zizindikiro za hypoglycemia atangodya. Kuchulukitsa kwa mapulogalamu amtundu wa insulin kumapangitsa kuti munthu azimwa mafuta ochulukirapo ambiri.
Kodi mungapewe bwanji kuphwanya mthupi?
Mkazi ayenera kutsatira malangizo angapo omwe angathandize:
- kukhala ndi glycemia wokwanira;
- sinthani kulolera kwa shuga;
- kusamalira shuga kukana ndi shuga.
Mutha kutuluka mumsampha womwe umatchedwa insulin pogwiritsa ntchito mapuloteni, mafuta ndi mafuta ambiri.
Kuphatikiza apo, mukuyenera kukumbukira ma nuances otsatirawa.
Kuchulukitsa Kudya ndi Nthawi
Tsiku lililonse ayenera kudyedwa ndi wotchi. Ndipo sitiyenera kuyiwala za magawidwe.
Ngati mumadya nthawi zosiyanasiyana masana komanso magawo akuluakulu, makamaka madzulo, ndiye izi ndizofunikira mwachindunji pakupanga kuchuluka kwa insulini komanso kuyika kwa mafuta.
Sizoletsedwa kudya zakudya zamafuta ambiri zomwe zimakulitsa kuchuluka kwa insulin.
Zochita zilizonse zolimbitsa thupi zitha kutchedwa insulin. Zimathandizira kuperekera shuga ku minofu ndikuchepetsa kwambiri magazi ake.
Kuchita masewera olimbitsa thupi a shuga mellitus makamaka kumathandiza kuthetsa nkhani ya kukana insulini ndikuthandizira kutentha kwapamwamba kwamafuta amthupi. Izi zimapereka mwayi wopeza mphamvu, kumanga minofu ndipo potero imathandizira njira zama metabolic m'thupi.
Hormonal usawa
Ndikofunikira kuwongolera kuchuluka kwa mahomoni. Njirayi imathandizira kuwongolera kuchuluka kwa mafuta m'thupi ndi malo ake enieni. Ndikotheka kumanga minofu ndikuthandizira kagayidwe, pokhapokha ngati abwezeretsedwa:
- testosterone testosterone;
- mahomoni estradiol.
Udindo wofunikira mu njirayi umaperekedwa ku magwiridwe antchito a chithokomiro.
Kupsinjika kwa Maganizo
Poyesa kupewa kuthana ndi nkhawa m'maganizo, mutha kutsitsa cortisol. Izi zimakhudza thupi lonse, kuletsa chidwi chofuna kupanikizika ndi zakudya zopatsa mphamvu komanso kuchepetsa shuga.
