Zotsatira za kutenga insulin - zovuta za insulin

Mavuto a insulin mankhwala siachilendo.

Nthawi zina, izi sizitanthauza kusintha kwakukulu paumoyo ndipo kumawongoleredwa mosavuta, pomwe ena akhoza kukhala pachiwopsezo cha moyo.

Ganizirani zovuta zomwe zimachitika kawirikawiri komanso momwe mungathetsere. Momwe mungapewerere kuwonongeka.

Kodi mankhwala a insulin amafunikira odwala matenda ashuga?

Mankhwala a insulin ndi njira zingapo zachipatala zofunika kulipira zovuta za carbohydrate metabolism mwa kuyambitsa kufanana kwa insulin ya munthu m'thupi. Majekeseni oterewa amaperekedwa pazifukwa zaumoyo kwa iwo omwe ali ndi matenda a shuga 1. Nthawi zina, amathanso kuwonetsedwa pa mtundu 2 matenda.

Chifukwa chake, mikhalidwe yotsatirayi ndi chifukwa cha insulin Therapy:

• mtundu 1 matenda a shuga;
• hyperlactacidemic chikomokere;
• ketoacidosis;
• matenda ashuga hyperosmolar;
• pakati ndi kubereka mwana mwa amayi omwe ali ndi matenda ashuga;
• kuwongolera kwakukulu ndi kusakwanira kwa njira zina zochizira mtundu 2 shuga;
• kuthamanga kwambiri kwa odwala matenda ashuga;
• nephropathy chifukwa kuphwanya chakudya.

Mavuto omwe angakhalepo okhudzana ndi insulin

Mankhwala aliwonse, pazinthu zina, angayambitse kuwonongeka kwaumoyo komanso thanzi. Izi zimachitika chifukwa cha zovuta komanso zolakwika posankha mankhwalawa.

Kutsika kowopsa kwa shuga m'magazi (hypoglycemia)

The hypoglycemic boma mankhwalawa insulin kukonzekera akhoza kuyamba chifukwa:

• Mlingo wosayenera wa mahomoni;
• kuphwanya jekiseni;
• zolimbitsa thupi zosakonzekera (nthawi zambiri odwala matenda ashuga amadziwa kuti muyenera kuchepetsa kuchuluka kwa insulini kapena kudya zakudya zambiri tsiku lotsatira) kapena popanda chifukwa.

Zizindikiro za hypoglycemia

Anthu odwala matenda ashuga amatha kuzindikira zizindikiro za hypoglycemia. Amadziwa kuti boma litha kusintha maswiti mwachangu, motero amakhala ndi maswiti nthawi zonse. Komabe, madokotala amalimbikitsa kuti odwala matenda ashuga azikhala ndi makhadi apadera kapena zibangili, zomwe zimakhala ndi chidziwitso chakuti munthuyo amadalira insulin. Izi zithandizira kuperekanso thandizo loyenera pazifukwa zomwe munthu wadwala kunja kwanyumba.

Kukana insulini

Immunological insulin insensitivity mwa omwe amalandira mankhwalawa kwa miyezi yoposa isanu ndi umodzi amatha kupanga chifukwa cha mawonekedwe a antibodies ake.

Zomwe zimachitika zimatengera cholowa.

Ndi kukula kwa kukana, kufunikira kwa mahomoni kumawonjezeka mpaka mayunitsi 500 / tsiku, koma kumatha kufika ku 1000 / tsiku kapena kupitilira.

Chitetezo chokwanira chimavomerezedwa ndi kuwonjezeka pang'onopang'ono kwa mlingo mpaka 200 mayunitsi / tsiku ndi kupitilira. Nthawi yomweyo, mphamvu ya insulini yolumikizira magazi imakulanso.

Kufunika kwa insulini kumachepetsedwa ndikugwiritsa ntchito prednisone kwa milungu iwiri: kuyamba ndi 30 mg kawiri patsiku, kenako pang'onopang'ono kuchepetsa mankhwalawo, mogwirizana ndi kuchepa kwa insulini yofunikira.

Thupi lawo siligwirizana

Zoyipa zam'deralo zimapezeka m'malo a jakisoni.

Mukamagwiritsidwa ntchito ndi nkhumba kapena zinthu zamagazi amunthu, izi ndizosowa. Allergy imayendera limodzi ndi kupweteka komanso kutentha, ndipo erythema imayamba, yomwe imatha kukhala masiku angapo.

Kuchita kwa chitetezo cha mthupi sikuti chifukwa chololera kusiya mankhwalawa, makamaka chifukwa nthawi zambiri matupi awo samawonekera amawonekera. Mankhwala a antihistamine nthawi zambiri safunika.

Chiwindi chomwe chimapangitsa kuti insulini ikhale yochepa kwambiri, koma chimatha kuchitika ngati chithandizo chasokonezedwa ndikuyambiranso pakapita miyezi ingapo kapena zaka. Zochita zoterezi ndizotheka mtundu uliwonse wa kukonzekera kwa insulin.

Zizindikiro za ziwengo zambiri zimawonekera patangotha ​​jakisoni. Itha kukhala:

• zotupa ndi angioedema;
• kuyabwa ndi kuwawa;
• broncho-pulmonary spasm;
• pachimake mtima kuperewera.

Ngati, atasintha, amafunika kupitiliza kuloweza insulin, ndikofunikira pazoyimira kuti ayang'anire mawonekedwe a khungu ndi mitundu yake, komanso kuti achepetse chidwi cha thupi pakuwongolera pafupipafupi kwa allergen.

Mapangidwe a lipodystrophy

Pali mitundu iwiri ya lipodystrophy yodziwika:

• hypertrophic;
• atrophic.

Ikuwoneka motsutsana ndi kumbuyo kwa njira yayitali ya hypertrophic pathology.

Kapangidwe ka chitukuko cha mawonetserowa sikumveka bwino.

Komabe, pali malingaliro oti chifukwa chake ndimavuto mwatsatanetsatane ku zotumphukira zamitsempha zam'mphepete, ndikusintha kwotsatira kwa mitsempha yam'deralo. Vutoli likhoza kukhalanso kuti:

• insulin siyitsukidwa mokwanira;
• mankhwalawa sanayilowetsedwe molondola, mwachitsanzo, adayilowetsa m'chigawo chofunikira kwambiri cha thupi kapena palokha matenthedwe amafunikira kuposa momwe amafunikira.

Ngati anthu odwala matenda ashuga apatsidwa prerequisites ya lipodystrophy, ndikofunikira kutsatira malamulo a insulin, kusinthana malo a jekeseni tsiku lililonse. Njira imodzi yodzitetezera ndi kusungunuka kwa mahomoni okhala ndi Novocaine wofanana (0.5%) nthawi yomweyo asanakonze.

Mavuto ena odwala matenda ashuga

Kuphatikiza pa zomwe tafotokozazi, jakisoni wa insulini angayambitse zovuta zina ndi zovuta zina:

• Chophimba chamatope pamaso panga. Imawoneka nthawi ndi nthawi ndipo imadzetsa kusamvana kwakukulu. Cholinga chake ndi zovuta zamagalimoto. Nthawi zina odwala matenda ashuga amamuwona molakwika chifukwa cha retinopathy. Chithandizo chapadera, chomwe chimachitika motsutsana ndi maziko a mankhwala a insulin, chimathandizira kuchotsa kusapeza bwino.
• Kutupa kwamiyendo. Izi ndizosakhalitsa zomwe zimachoka zokha. Ndi kuyamba kwa mankhwala a insulini, madzi amayamba kuchotsedwa m'thupi, koma pakapita nthawi, kagayidwe kameneka kamabwezeretsedwa ku voliyumu yake yam'mbuyo.
• Kuthamanga kwa magazi. Cholinga chake chimawonedwanso kusungidwa kwa madzimadzi m'thupi, komwe kumatha kuchitika kumayambiriro kwa chithandizo ndi insulin.
• Kulemera msanga. Pafupifupi, kulemera kumatha kuwonjezeka ndi ma kilogalamu 3-5. Izi ndichifukwa choti kugwiritsa ntchito mahomoni kumalimbikitsa kulakalaka komanso kumalimbikitsa kupangidwa kwa mafuta. Kuti mupewe mapaundi owonjezera, ndikofunikira kukonza mndandandawo kuti muchepetse kuchuluka kwa zopatsa mphamvu ndikuwonetsetsa kuti mudye kwambiri.
• Anachepetsa magazi potaziyamu. Popewa kukula kwa hypokalemia, zakudya zapadera zimathandiza, pomwe padzakhala masamba ambiri a kabichi, zipatso za zipatso, zipatso ndi zitsamba.

Insulin kwambiri ndi chikomokere

Mankhwala osokoneza bongo a insulin amawonekera:

• kutsitsa minofu kamvekedwe;
• dzanzi lilime;
• manja akunjenjemera;
• ludzu losalekeza;
• thukuta, lozizira;
• "nebula" wa chikumbumtima.

Zonsezi pamwambapa ndi chizindikiro cha vuto la hypoglycemic, lomwe limachitika chifukwa cha kusowa kwambiri kwa shuga m'magazi.

Ndikofunika kuyimitsa msanga kuti musasanduke chikondwerero, chifukwa kuopseza moyo.

Hypoglycemic coma ndi woopsa kwambiri. Gawani magawo anayi a mawonetseredwe ake. Iliyonse ya zizindikiro zake ili ndi ndondomeko yake:

1. poyamba, hypoxia ya ubongo amapanga. Izi zikuwonetsedwa ndi zochitika zatchulidwazi;
2. lachiwiri limakhudza dongosolo la hypothalamic-pituitary, lomwe limawonetsedwa ndi vuto la matenda ndi hyperhidrosis;
3. kachitatu, kugwira ntchito kwamkati kumadwala. Kusintha kumachitika, ana amakula, ngati agwidwa ndi khunyu;
4. Gawo lachinayi ndi chikhalidwe chovuta. Amadziwika ndi kutayika kwa chikumbumtima, palpitations ndi zovuta zina. Kulephera kupereka chithandizo chamankhwala ndizowopsa chifukwa cha matenda a edema ndi kufa.

Ngati zikuchitika pakapita masiku awiri, munthu wodwala matenda ashuga akuwonjezeka pambuyo pa maola awiri, ngati jakisoni sanachitike nthawi, ndiye kuti mukomoka, pakatha ola limodzi, munthu akukumana ndi zovuta.

Zoyenera kuchita ngati pambuyo pa jakisoni wa insulin, mkhalidwe wa anthu odwala matenda ashugawo umangokulira

Choyamba muyenera kuwonetsetsa kuti chifukwa cha kuwonongeka ndendende mu kuphatikizika kwa Mlingo wa insulin. Kuti muchite izi, tengani glucometer ndikuwona kuchuluka kwa shuga m'magazi. Chipangizocho chikuwonetsa zotsatira pambuyo masekondi 5 atayesa. Chizolowezicho chimachokera ku 5 mpaka 7 mmol / l. Kutsika kwake kumakhala kochepa, komwe kumakhala kowoneka bwino.

Kuchepa kwa shuga mwa zinthu zomwe zimapangitsa kuti mulibe:

• perekani chokoleti, maswiti, tiyi wokoma kapena piritsi la shuga;
• jekeseni shuga m'mitsempha. Katswiri wazachipatala yekha ndiamene angachite izi moyenera. Poterepa, kuchuluka kwa mankhwalawa kudzadalira mkhalidwe wa anthu odwala matenda ashuga, mitundu yake ya matenda ndi magawo ena.

Mukamayesera kupanga shuga wopanda magazi m'magazi, ndikofunikira kuti musawonjezere ndi mafuta. Mu thanzi labwinobwino, zochulukirapo zimasungidwa mu mawonekedwe a glycogen, ngati nkhokwe yamphamvu. Ndi matenda a shuga, kuperewera kwa madzi m'thupi kumatha.

Mapangidwe a insulin ndi kuwonjezeka kwa shuga m'magazi

Imalimbikitsa kuyamwa kwa glucose ndi minofu ndi adipose minofu.

Ntchito yayikulu ya insulin ndikusunga shuga wokhazikika komanso wolimba (80-100 mg / deciliter).

Mukakhala kuti ndi yapamwamba, kapamba amapanga insulini, yomwe "imatenga" shuga wambiri m'magazi ndikuyitsogolera kuti izisungidwa mu minofu ndi mafuta.

Kuti muchepetse chiopsezo cha zovuta za insulin, ndikofunikira kutsatira mosamalitsa zomwe dokotala wapereka ndikuwapatsa mankhwalawo moyenera.

Ngati mukumva kuwawa, muyenera kulankhulana ndi endocrinologist, ndipo m'malo ovuta kwambiri, itanani ambulansi panokha kapena ndi thandizo lakunja.