Kuyesedwa kwa magazi kwa insulin: malamulo a kuperekera, decoding ndi chizolowezi

Kuchuluka kwa insulin m'magazi kumasintha mosalekeza tsiku lonse poyankha kulowa kwa glucose m'matumbo. M'matenda ena, kusokoneza bwino kumasokonekera, kapangidwe ka timadzi timeneti timayamba kukhala osiyana ndi chikhalidwe. Kuyesedwa kwa magazi kwa insulin kumakuthandizani kuti muwone kupatuka kwakanthawi.

Nthawi zina, mwachitsanzo, ndi metabolic syndrome, kudziwika nthawi yake ndikofunikira kwambiri, popeza wodwalayo ali ndi mwayi wochiritsa matenda omwe angayambitse komanso kupewa matenda a shuga. Kusanthula uku kumakupatsani mwayi wofufuza zochitika za kapamba, ndi gawo limodzi la maphunziro kuti mudziwe zomwe zimayambitsa hypoglycemia. Mu shuga mellitus, kuchuluka kwa insulin yofulumira m'magazi kumagwiritsidwa ntchito kuwerengera index insulin.

Zifukwa Zogawirira Kusanthula

Insulin ndiye mahomoni ofunika kwambiri mu kayendetsedwe kabwino ka carbohydrate metabolism. Amapangidwa mu kapamba mothandizidwa ndi maselo amtundu wapadera - maselo a beta, amapezeka m'masukulu a Langerhans. Insulin imatulutsidwa m'magazi ndikuwonjezera kuchuluka kwa shuga m'magazi. Zimapangitsa kusintha kwa glucose kulowa m'matumbo, chifukwa momwe mulingo wake m'magazi umachepa, ndipo patapita kanthawi kuchuluka kwa mahomoni kumatsika. Kuti ayesere kupanga insulini, magazi amatengedwa pamimba yopanda kanthu, itatha nthawi yanjala nthawi yayitali. Pankhaniyi, kuchuluka kwake mwa anthu athanzi nthawi zonse kumakwanira muyezo, ndipo kupatuka kulikonse ndi chizindikiro cha kusokonezeka kwa kagayidwe kazakudya.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Kuwunika kochitidwa pamimba yopanda kanthu m'mabotolo osiyanasiyana kungatchulidwe kuti insulin, insal insulin, IRI. Liperekeni pankhani zotsatirazi:

• kuchuluka kapena kuchepa thupi komwe sikungafotokozedwe ndi zakudya;
• hypoglycemia mwa anthu osalandira chithandizo cha matenda ashuga. Amawonetsedwa mukumva njala yayikulu, miyendo yanjenjemera, kugona;
• ngati wodwala ali ndi zizindikiro zingapo za prediabetes: kunenepa kwambiri ndi BMI> 30, atherosclerosis, mtima ischemia, polycystic ovary;
• munthawi zokayikitsa, kumveketsa mtundu wa matenda osokoneza bongo kapena kusankha mtundu wa mankhwala omwe mumakonda.

Zomwe mayeso a insulin amawonetsa

Kuyesa kwa insulin kumakupatsani mwayi:

1. Dziwani zotupa, zomwe zimaphatikizapo maselo omwe amatha kutulutsa insulin. Poterepa, timadzi timene timatulutsidwa m'magazi osayembekezereka, pamiyeso yambiri. Kuwunikaku sikugwiritsidwa ntchito kuti mupeze vuto lokhala ndi mankhwalawa, komanso kuti muwone bwino momwe opaleshoni yake imathandizira, kuti athe kubwezeretsanso.
2. Kuyesa chiwopsezo cha zimakhala kuti insulin - insulin kukana. Pankhaniyi, muyenera nthawi yomweyo kuyesa shuga. Kukana kwa insulini ndi mtundu wa matenda amtundu wa 2 komanso zovuta zomwe zimayambitsa: prediabetes ndi metabolic syndrome.
3. Pankhani yokhala ndi matenda a shuga a 2 a nthawi yayitali, kuwunikako kumawonetsa kuchuluka kwa kapamba omwe amapanga komanso ngati wodwalayo atha kukhala ndi mapiritsi ochepetsa shuga kapena ngati ma jakisoni a insulini ayenera kukhazikitsidwa. Kusanthula kumachitidwanso pambuyo pothandizidwa ndi matenda oopsa a hyperglycemic, pomwe wodwala yemwe ali ndi matenda osokoneza bongo amamuchokera ku insulin.

Ndi matenda a shuga 1 amtunduwu, kuwunika kumeneku sikugwiritsidwa ntchito. Kumayambiriro kwa matendawa, ma antibodies omwe amapangidwa amasokoneza kutanthauzira kolondola kwa zotsatira zake; atayamba chithandizo, insulin yokonzekera yomwe ili yofanana ndi mahomoni awo. Njira ina yabwino kwambiri pamenepa ndi C-peptide assay. Izi zimapangidwa nthawi imodzi ndi insulin. Ma antibodies samayankha, ndipo kukonzekera kwa C-peptide kulibe.

Ndi minyewa ya dystrophy, matenda a Itsenko-Cushing, kuwonongeka kwa pituitary gland, komanso matenda a chiwindi, ndikofunikira kuyang'anira magwiridwe antchito a ziwalo zonse, chifukwa chake odwala, pamodzi ndi maphunziro ena, amafunikira kuyesedwa kawirikawiri ndi insulin.

Momwe mungasinthire

Kuchuluka kwa insulin m'magazi sikudalira kuchuluka kwa shuga, komanso pazinthu zina zingapo: zolimbitsa thupi, mankhwala osokoneza bongo komanso mkhalidwe wamunthu wamunthu. Kuti zotsatira za kusanthula zikhale zodalirika, kukonzekera kuyenera kuthandizidwa mwachidwi:

1. Kwa masiku awiri, kupatula zakudya zamafuta kwambiri. Sikoyenera kukana chakudya ndi mafuta abwinobwino.
2. Kwa tsiku, chotsani katundu onse mopindulitsa, osangokhala zathupi zokha, komanso zamaganizidwe. Kupsinjika mtima patsiku lachiwonetserocho ndi chifukwa chochedwetsa magazi.
3. Tsiku silimamwa mowa komanso mphamvu, musasinthe zakudya zomwe mumadya. Lekani kwakanthawi mankhwala onse ngati izi sizikuvulaza thanzi. Ngati kuleka kusatheka, dziwitsani ogwira nawo ntchito.
4. Maola 12 osadya. Madzi okhaokha osatulutsidwa popanda mpweya ndi omwe amaloledwa pa nthawi ino.
5. 3 maola musasute.
6. Mphindi 15 musanatenge magazi, khalani chete kapena kugona pakama.

Nthawi yabwino yoyeserera ndi 8-11 m'mawa. Mwazi umatengedwa kuchokera mu mtsempha. Kutsogolera njirayi kwa ana aang'ono, theka la ola nthawi isanayambike ayenera kupereka kapu yamadzi kuti amwe.

Mankhwala omwe amakhudza kuchuluka kwa insulin:

Decoding ndi miyambo

Zotsatira za kusanthula, kuchuluka kwa insulini m'magazi kumawonetsedwa mosiyanasiyana: mkU / ml, mU / l, pmol / l. Kusamutsa iwo kumodzi ndikosavuta: 1 mU / l = 1 μU / ml = 0.138 pmol / l.

Miyezo yoyenera:

Makhalidwe abwinobwino a insulin amatengera luso la kusanthula, choncho m'malo ena olemba mankhwalawo amatha kusiyanasiyana. Mukalandira zotsatira zake, muyenera kuyang'ana kwambiri zautundu woperekedwa ndi ogwira ntchito, osati zofananira.

Insulin pamwamba kapena pansipa

Kuperewera kwa insulin kumabweretsa kufa ndi maselo komanso kuchuluka kwa shuga m'magazi. Zotsatira zake zitha kukhala zotsika pang'ono poyerekeza ndi matenda a pituitary ndi hypothalamus, kupsinjika ndi kutopa kwambiri, komanso kulimbitsa thupi kwa nthawi yayitali kuphatikiza ndi kusowa kwa chakudya chamagulu, ndi matenda opatsirana ndipo nthawi yomweyo itatha.

Kuchepa kwakukulu kwa insulin kumawonetsa kuyambika kwa mtundu wa matenda a shuga 1 kapena kusokonekera kwa kapamba ka ntchito kwa odwala omwe ali ndi matenda a shuga a 2. Acute pancreatitis ndi pancreatic necrosis amathanso kukhala chifukwa.

Insulin yomwe idakwera m'mwazi imawonetsa zovuta izi:

• Matenda a shuga osagwirizana ndi insulin. Matendawa akamakula, kuchuluka kwa insulini kudzachepa, ndipo shuga wamagazi azikula.
• Insulinoma ndi chotupa chomwe chimatha kupanga ndikupanga insulin yokha. Nthawi yomweyo, palibe kulumikizana pakati pakudya shuga ndi kaphatikizidwe ka insulin, chifukwa chake hypoglycemia ndi chizindikiritso cha insulinoma.
• Kukana kwamphamvu kwa insulin. Awa ndi mkhalidwe womwe thupi limatha kuzindikira insulin. Chifukwa cha izi, shuga samasiya magazi, ndipo kapamba amakakamizidwa kuti azitha kupanga mahomoni. Kukana kwa insulin ndi chizindikiro cha zovuta za metabolic, kuphatikizapo mitundu iwiri ya matenda ashuga. Zimagwirizanitsidwa kwambiri ndi kunenepa kwambiri: zimakula pamene mukulimbitsa thupi, ndipo insulin yochulukirapo, imathandizira kuchedwetsa mafuta atsopano.
• Matenda omwe amaphatikizidwa ndi kuphatikiza kwakukulu kwa insulin antagonist mahomoni: Itsenko-Cushing's syndrome kapena acromegaly. Ndi acromegaly, adenohypophysis imapanga kukula kwakukulu kwa mahomoni. Itsenko-Cushing's syndrome limayendera limodzi ndi kuchuluka kwa mahomoni a adrenal cortex. Ma hormone awa amachepetsa mphamvu ya insulin, motero kaphatikizidwe kake kamakomoka.
• Herederal kagayidwe kachakudya matenda a galactose ndi fructose.

Kuchulukitsa kwabodza kwa insulin kumachitika ndikukonzekera kosayenera kusanthula ndi kukhazikitsa mankhwala ena.

Mtengo

Mtengo wowunikira m'mabotolo osiyanasiyana umachokera ku 400 mpaka 600 ma ruble. Zopeza za magazi zimalipiridwa mosiyana; mtengo wake umakhala mpaka ma ruble 150. Phunziroli limayamba nthawi yomweyo, kotero tsiku lotsatira lochita ntchito mutha kupeza zotulukapo zake.

Zambiri pamutuwu:

>> Kuyesa magazi kwa shuga - pamatani, momwe mungatengere ndikusintha zotsatira.