Insulin yayikulu yokhala ndi shuga wabwinobwino - zimayambitsa zizindikiro za atypical

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Shuga wamagazi ndi insulin nthawi zonse amalumikizana, kotero, kukula kwa umodzi wawo kumabweretsa kuwonjezeka kwachiwiri.

Komabe, nthawi zina anthu amakumana ndi vuto la atypical: glucose ndiyabwinobwino, koma mahomoni alibe.

Chifukwa chiyani insulin yayikulu imayamba ndi shuga wabwinobwino, komanso zoyenera kuchita ndi zotumphukira zotere.

Magazi a glucose ndi mahomoni a pancreatic

Insulin ndi mahomoni opangidwa ndi kapamba omwe amagwira ntchito zingapo zofunika:

  • amatenga kagayidwe;
  • imapereka maselo ndi mphamvu;
  • matenda a shuga;
  • imapereka njira zosinthira ndi zina zambiri.

Ngati mulingo wa insulin wapatuka pachizolowezi, izi zikuwonetsa kukhalapo kwa dongosolo la pathological lomwe liyenera kuyimitsidwa.

Kupanda kutero, chiwopsezo cha moyo ndi thanzi la munthu chimapangidwa. Mitundu imadalira zaka ndipo imatha kusiyanasiyana.

Mwa akazi akulu ndi abambo

Mwa anthu athanzi, pakusala magazi, mulingo wa insulin uyenera kukhala m'magulu atatu mpaka 20. Kulera mpaka mayunitsi 25 kumawoneka ngati kololedwa ndipo sikutanthauza kuwongolera.

Anthu omwe awoloka gawo lazaka 60 ali ndi miyeso yosiyana pang'ono - mankhwalawa a insulin ayenera kukhala m'gulu la magawo 6 mpaka 35.

Makhalidwe a glucose mwa amuna ndi akazi akuluakulu pamimba yopanda kanthu sayenera kupitirira 5.5 mmol / l. Mukakalamba, kuwonjezereka kwa 5.9-6.4 mmol / l ndikotheka, komabe, uku ndiye malire ovomerezeka.

Kuti mupeze chithunzi chamlingo woyenera, shuga ayenera kuyezedwa kangapo patsiku: m'mawa, mutatha kudya, masana ndi madzulo.

Mu ana

Zambiri za insulin za ana osakwana zaka 12 siziyenera kupitirira 20 mayunitsi.

Magazi a shuga wamba

Zaka zazakaMwazi wamagazi, mmol / l
Kufikira 2Osapitilira 4.4
2 mpaka 6Osapitilira 5
6 ndi akuluOsapitirira 5.5

Pa nthawi yoyembekezera

Mkhalidwe wapadera wa azimayi komanso kusintha kwakukulu kwa mahomoni omwe amachitika m'thupi, zimapangitsa kuti masinthidwe amkati, kuphatikizapo metabolic.

Chikhalidwe kwa akazi apakati ndi:

  • kuchokera magawo 6 mpaka 32 - zomwe zili ndi insulin;
  • kuyambira 3,3 mpaka 6.6 mmol / l - mulingo wabwinobwino wamagazi m'magazi.
Monga lamulo, kuyesedwa kwa pakati kumayikidwa kwa azimayi omwe ali pachiwopsezo kumapeto kwa trimester yoyamba.

Zotsatira za zizindikiro pa wina ndi mnzake

Insulin ndi udindo wonyamula glucose kuzinthu zonse za thupi kupatula ubongo.

Ngati zifukwa zina mahomoniwo sanakwanire, ndiye kuti shuga sabwezedwa m'maselo panthawi, zomwe zimapangitsa kuti azikhala ndi njala.

Mthupi la munthu wathanzi, insulin imasunga shuga wambiri m'magazi, chifukwa chake, zizindikiro zimayenderana.

Munthu akadya zakudya zotsekemera kapena zopatsa mphamvu zamafuta ambiri, shuga wambiri amalowa m'magazi, poyankha izi, kapamba amayesera "kutaya" gawo lamphamvu la insulini, lomwe limapangitsa kukula kwake.

Mthupi nthawi zonse mumakhala kupezeka kwa mahomoni ena, omwe amakupatsani mphamvu kufatsa msanga wobwera, komabe, ngati izi sizokwanira, insulin imayamba kupangidwanso, komwe nthawi ingayambitse kukula kwake.

Shuga ndiwabwinobwino ndipo insulin imakwezedwa: zimatanthawuza chiyani

Pali zifukwa zingapo zomwe zimapangitsa kuti kusagwira bwino ntchito m'thupi kutha, chifukwa chake, insulin imayamba kukula, ndipo shuga amakhalanso abwinobwino. Chodziwika kwambiri cha izi ndi kuperewera kwa vuto la kuperewera kwa zakudya m'thupi, chifukwa chake ndikufanizira ndi zomwe takambirana pamwambapa kuti tikambirane za magwiritsidwe ntchito a chitukuko cha matenda.

Chifukwa chake, makeke, makeke ndi mbatata yokazinga yotsekemera ndi mchere zimalowa m'mimba, shuga amapangidwa nthawi yake yopatika. Kusintha kwake kumafuna insulini ina.

Zinthu “zowopsa” zomwe zimaloŵa m'thupi, zimapweteka kwambiri kapamba zimayambitsa kukula kwa timadzi tomwe timapanga shuga. Ndipo ngati poyamba thupi likuwona kuwonjezereka kwa insulini ngati chinthu chosafunikira, ndiye kuti patapita nthawi "chizolowezi" chimachitika, ndipo chimapangidwa mokulira. Ndipo chifukwa chachikulu ndichakudya chopanda tanthauzo. Vutoli limatchedwa kudalira kwa insulin.

Chifukwa chiyani hyperinsulinism imachitika ndi shuga wabwinobwino wamagazi

Tikulemba zifukwa zazikulu:

  1. Gawo loyamba la kunenepa kwambiri.
  2. Hormone yodalira chotupa mu chiwindi (insulinoma).
  3. Gawo loyamba la matenda a shuga a 2.
  4. Neoplasms mu mazira.
  5. Mimba
  6. Neuromuscular dystrophy.
Nthawi zina zomwe zimayambitsa zimakhala mayeso olakwika, kotero ngati ziyesozo zikupatuka, dokotala atha kulimbikitsa kuyesanso kwachiwiri kwa magazi.

Zizindikiro zakuchulukirachulika mahomoni m'magazi

Ndizotheka kukayikira kuti insulin imakwezedwa ndi zizindikiro izi:

  • kutopa;
  • ngakhale atadya chakudya chopatsa thanzi, njala ibwerera msanga;
  • pambuyo kupuma movutikira kwakachitika;
  • thukuta lolemera lilipo;
  • kuyabwa pakhungu ndikotheka;
  • mabala ndi abrasions amachiritsa pang'onopang'ono;
  • kukokana m'miyendo;
  • kukumbukira kusokonezeka ndi kuthekera kwakuya kwambiri;
  • kulemera msanga;
  • kupweteka kwa minofu kumasokoneza nthawi ndi nthawi.
Ndi insulin yayitali kwambiri, chiopsezo chokhala ndi matenda oopsa chimawonjezeka kwambiri, chifukwa chake anthu nthawi zambiri amadandaula za kuchuluka kwamphamvu kwa kuthamanga kwa magazi, komwe sanazunzidweko kale.

Momwe mungachepetse insulin yayikulu ndi magazi abwinobwino

Miyezi yokwanira ya insulin ndiyowopsa kwa thanzi, motero vutoli limafunikira kukonzedwa mwachangu. Endocrinologist amathandizira pakuzindikira ndi kuchiza matenda oterewa.

Nthawi zambiri anthu omwe ali ndi vuto la hyperinsulinism amayesa kutulutsa ziwonetsero za matenda omwe alipo (kumwa mapiritsi a kukakamiza, kupweteka mutu, ndi zina) osadziwa ngakhale pang'ono za iwo. Njira zodzichitira nokha zotere zimathera kuchipatala movutikira.

Mankhwala

Palibe mankhwala omwe angathandize kuchepetsa insulini mu shuga wabwinobwino.

Mwambiri, kuchuluka kwambiri kwa mahomoni kumangokhala chizindikiro cha zovuta m'thupi, ndiye kuti ntchito ya dotolo ndi wodwala ndikuti apeze mawonekedwe amomwe amapangira matenda kuti athe kuwathetsa.

Chithandizo cha zamankhwala chodwala chomwe chimayambitsa matenda amachepetsa kuchuluka kwa insulin mthupi m'nthawi yochepa.

Zakudya

Mfundo zotsatirazi zikulimbikitsidwa:

  1. Ndikofunikira kupirira nthawi yayitali pakati pa chakudya. Akatswiri amalimbikitsa kuti muchepetse kudya kawiri kapena katatu patsiku. Pazinthu zoterezi, thupi limagwiritsa ntchito kuchuluka kwa shuga, komwe kumachepetsa insulin.
  2. Kamodzi pa sabata ndikofunikira kuchita tsiku lokweza katundu - menyu azikhala madzi okha.
  3. Ndikofunikira kuchepetsa kugwiritsa ntchito zakudya zam'thupi - pasitala, mkate, muffin, makeke, makeke, zakumwa za shuga, khofi ndi tiyi ndi shuga, ndi zina zambiri.
  4. Ndikofunika kupatsa chidwi ndi zakudya zomwe zimakhala ndi fiber yambiri - zipatso ndi ndiwo zamasamba, chimanga, nyemba.
  5. Mukamasankha zamagolosale m'sitolo, muyenera kugula zinthu zomwe zimakhala ndi insulin index (AI) yotsika. Chiwonetserochi chikuwonetsa kuchuluka kwa timadzi timene timatulutsidwa m'magazi tikamamwa mankhwala enaake. Kutsitsa insulin index, ndibwino. Kupanga zakudya zamagulu ndi AI yotsika, mutha kuchepetsa msanga chizindikiritso m'magazi.
  6. Ngati palibe zotsutsana ndi ziwalo zina ndi machitidwe, kuchuluka kwa madzi omwe amamwa patsiku sikuyenera kukhala ochepera 2 malita.
Ngati simunyalanyaza vutoli munthawi yake ndikusintha moyo wanu, zotsatirapo zake zingakhale zachisoni kwambiri. Munthu atha kukhala ndi mtundu wina wa matenda a shuga omwe amadalira insulin, omwe angafunike jakisoni wa nthawi yonse yam'madzi, komanso miyeso ya tsiku ndi tsiku ya glucose.

Zolimbitsa thupi komanso masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi mokwanira kumatha kuchepetsa kuchuluka kwa insulin m'magazi munthawi yochepa.

Kuyenda maulendo azikhala tsiku ndi tsiku; nyengo zoyipa mumatha kuyeseza pa mafunde kapena pa njinga.

Pafupifupi 3-4 pa sabata, muyenera kukonza maphunziro, okhalitsa ola limodzi. Ngati palibe mwayi wochita masewera olimbitsa thupi, muyenera kusankha masewera olimbitsa thupi ogwira ntchito kunyumba.

Physiotherapy imathandizira njira zonse za metabolic mthupi, imasintha mamvekedwe, imabwezeretsa kamvekedwe ka mtima, imachepetsa shuga ndi insulini, imathandizira ntchito ya adrenal, etc.

Mitundu yotchuka:

  1. Hydrotherapy (malo osambira, osambira, saunas, rubdowns).
  2. Electrophoresis (njira yamagawo) yogwiritsa ntchito No-shpa, Novocaine wokhala ndi ayodini, Papaverine.
  3. Hydrotherapy.
  4. Magnetotherapy.
  5. Mankhwala a Ultrasound.
  6. Zolakwika Gululi limaphatikizapo njira zomwe sizigwiritsidwa ntchito kawirikawiri - mankhwala a ozone, acupuncture, komanso ena ena.
Kusankha kwa njira ya physiotherapeutic zotsatira kumachitika ndi dokotala pambuyo pakupenda bwino thupi la wodwalayo.

Zithandizo za anthu

Zomera zotsatirazi (ma decoctions ndi infusions kuchokera kwa iwo) zatsimikizira kugwira bwino ntchito kuchepetsa insulin m'magazi:

  • rasipiberi;
  • phulusa la kumapiri;
  • mizu ya burdock;
  • nkhwangwa yakuda;
  • alfalfa.

Zouma zopangira mu kuchuluka kwa 1 tbsp. kutsanulira ndi kapu yamadzi otentha, kupaka kwa pafupifupi ola limodzi, kusefa. Tengani gawo limodzi mwa magawo atatu a magalasi, musanadye, katatu patsiku.

Maphikidwe ena awiri otchuka:

  1. 3 tbsp yisiti yowuma kuthira madzi otentha ndikulola kutupa kwa theka la ola. Tengani osakaniza mukatha kudya. Zochita: mpaka masabata angapo;
  2. mubweretse chithupsa 100 magalamu a chimanga ndi 250 ml ya madzi. Kuumirira maola awiri, kumwa katatu patsiku, musanadye, theka lagalasi.

Ngakhale kuti kuphweka kumawonekera, kutsitsa insulin nokha sikulimbikitsidwa. Choyamba, ndikofunikira kuzindikira bwino zomwe zimayambitsa matendawa. Kachiwiri, ndimankhwala osakwanira, zovuta zomwe zimakhala zowopsa pamoyo komanso thanzi zimatha kukhazikika kwakanthawi kochepa.

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