Insulin kwambiri

Insulin ndi timadzi tambiri tomwe timafunikira kuti thupi lipezeke komanso kubereka kwa shuga. Ndi kuchepa kwake, kagayidwe kazakudya kamasamba amasokonekera ndipo shuga yemwe amalowa mthupi mwachindunji ndi chakudya amayamba kukhazikika m'magazi. Chifukwa cha njirazi zonse, mtundu woyamba wa matenda a shuga umayamba, momwe ma jakisoni a insulin amasonyezedwera monga mankhwala obwezeretsa. Koma si aliyense amene akumvetsa kuti ndikofunikira kutsatira njira zawo zopanga ndi malingaliro a madokotala okhudzana ndi kumwa kwake. Kupatula apo, zotsatirapo za kuchuluka kwa insulin zimatha kukhala zosiyana kwambiri, ngakhale kupha kumene.

Udindo wa insulin mthupi

Monga tafotokozera pamwambapa, insulini ndi mahomoni omwe "amachititsa" kuphwanya ndi kupopera kwa shuga. Pancreas ikuchita kupanga. Ngati maselo ake adawonongeka, njira ya insulin kaphatikizidwe ndiyosatheka kapena kusokonezedwa kwathunthu. Koma zimatenga gawo lalikulu pakugwira ntchito kwa thunthu lonse.

Pansi pa kuchitapo kwake, shuga wolowera m'magazi atatha kudya amatengedwa ndi maselo amthupi, motero kudzikwanitsa ndi mphamvu. Ndipo shuga wambiri umayikidwa mu "cache" m'malo osungirako, omwe kale amasandulika glycogen. Izi zimachitika m'chiwindi ndikuwonetsetsa kuti mafuta a cholesterol amapezeka bwinobwino.

Ngati insulin singapangidwe mokwanira kapena kuchuluka kwake kulibe, mapangidwe amthupi amtunduwu amasokonezeka, zomwe zimapangitsa kuti pakhale kuchepa kwa insulin komanso kukula kwina kwa matenda a shuga.

Mlingo wa insulin umasankhidwa payekha!

Matendawa amadziwonetsa ndi shuga wowonjezera wamagazi (hyperglycemia), kufooka, kumangokhala ndi njala, kusokonezeka kwa dongosolo lazomera, etc. Kuchulukitsa kuchuluka kwa glucose m'magazi, komanso kutsitsa (hypoglycemia) ndi vuto lalikulu lomwe lingayambitse kukomoka kwa hyperglycemic kapena hypoglycemic.

Ndipo kupewa izi, ndi zovuta kagayidwe kazakudya ndi shuga m'magazi, insulin mankhwala zotchulidwa. Mlingo wa jekeseni amasankhidwa payekhapayekha, poganizira zina - kuchuluka kwa magazi, kuchuluka kwa shuga m'magazi komanso kuchuluka kwa mapangidwe a insulin. Pankhaniyi, kudziletsa kumakhala kofunikira popanga insulin. Wodwalayo amayenera kuyeza kuchuluka kwa shuga m'magazi (izi zimachitika pogwiritsa ntchito glucometer) ndipo ngati jakisoni sapereka zotsatira zabwino, funsani dokotala nthawi yomweyo.

Kodi zingayambitse vuto lotani?

Mankhwala osokoneza bongo a insulini amatha kuchitika kangapo - pogwiritsa ntchito jakisoni wa insulin yayitali kwambiri kapena musinagwiritsidwe ntchito molakwika. Chowonadi ndi chakuti posachedwapa, mankhwala ofanana adayamba kugwiritsidwa ntchito mu masewera, makamaka pomanga thupi. Zowonjezera mphamvu yawo ya anabolic imakuthandizani kuti muzikhutitsa thupi ndi mphamvu ndikuthandizira njira yomanga minofu. Ndizofunikira kudziwa kuti izi sizinatsimikizidwebe ndi asayansi, koma izi sizimayimitsa osewera.

Ndipo chinthu chomvetsa chisoni ndichakuti nthawi zambiri amadzipatsa "mankhwala" oterowo ndikupanga njira yowagwiritsira ntchito, yomwe ndi yopenga kwathunthu. Saganizira zotsatira za nthawi izi, koma atha kukhala achisoni kwambiri.

Mankhwala sayenera kumwa konse osonyeza zizindikiro zapadera, koma ambiri amanyalanyaza izi. Amakhulupirira kuti mulingo woyenera kwambiri wa "insulin" kwa munthu wathanzi ndi wa 2-4 IU. Ochita masewera amabweretsa 20 IU, atapatsidwa kuchuluka kwa insulin komwe amagwiritsidwa ntchito pochiza matenda ashuga. Mwachilengedwe, zonsezi zimatha kubweretsa zovuta.

Ndipo ngati mwachidule, ziyenera kunenedwa kuti mankhwala osokoneza bongo ambiri amapezeka ngati:

• jakisoni amagwiritsidwa ntchito nthawi zonse ndi munthu wathanzi;
• Mlingo wolakwika wa mankhwalawa adasankhidwa;
• pali kuthetsedwa kwa insulin imodzi kukonzekera ndi kusinthana kupita kwina, kwatsopano, komwe kunayamba kugwiritsidwa ntchito mokulira;
• jekeseni ikuchitika molakwika (amaikidwa mosadukiza, osatinyoza!);
• kuchita zolimbitsa thupi ndi osakwanira kudya chakudya;
• osachedwa kudya komanso osala kudya amagwiritsidwa ntchito nthawi yomweyo kwa odwala;
• odwala matendawa adapereka jakisoni kenako ndikudumphira chakudya.

Mukamagwiritsa ntchito insulin, muyenera kuyang'anira shuga yanu nthawi zonse

Tiyeneranso kudziwa kuti pali zochitika zina ndi zina momwe thupi limamverera kwambiri insulin. Izi zimachitika pakakhala pakati (makamaka mu trimester yoyamba), ndi kulephera kwa aimpso, chotupa cham'mimba kapena chiwindi chamafuta.

Mankhwala osokoneza bongo a insulin amatha kuchitika mukamamwa mankhwalawa. Ngakhale amatsutsana mu shuga, si onse odwala matenda ashuga omwe amatsatira izi. Chifukwa chake, madokotala amalimbikitsa kuti odwala awo, kuti apewe zotsatira za "zosangalatsa", atsatire malamulo awa:

Malamulo a insulin

• musanamwe mowa, muyenera kuchepetsa kuchuluka kwa insulin;
• m`pofunika kudya musanamwe mowa ndikatha kudya zomwe zimakhala ndi mafuta ochulukirapo;
• zakumwa zoledzeretsa zamphamvu siziyenera kumwa konse, "kuwala" kokha, komwe kulibe mowa wopitilira 10%.

Ngati mankhwala osokoneza bongo omwe ali ndi insulin, imfa imachitika motsutsana ndi maziko a chipere cha hypoglycemic, koma osati ponse ponse. Zonse zimatengera umunthu wa thupi, mwachitsanzo, kulemera kwa wodwalayo, zakudya zake, moyo wake, ndi zina zambiri.

Odwala ena sangathe kupulumuka mlingo wa 100 IU, pomwe ena amapulumuka pambuyo pa 300 IU ndi 400 IU. Chifukwa chake, ndizosatheka kunena ndendende kuti ndi insulin iti yomwe imapha, chifukwa chiwalo chilichonse chimakhala chokhacho.

Zizindikiro Zambiri

Ndi mankhwala osokoneza bongo ambiri a insulin, kutsika kwakukulu kwa shuga m'magazi (osakwana 3.3 mmol / l) kumachitika, chifukwa chomwe hypoglycemia imayamba, yomwe imadziwika ndi zizindikiro zotsatirazi:

• kufooka
• mutu
• kukoka kwamtima;
• kumva kwamphamvu njala.

Zizindikiro zazikulu za hypoglycemia

Zizindikirozi zimapezeka mu gawo loyamba la insulin poyizoni. Ndipo ngati pakadali pano wodwala satenga mbali iliyonse, ndiye kuti pali zizindikiro zina za hypoglycemia:

• kunjenjemera m'thupi;
• kuchuluka kwa masokosi;
• kutsekeka kwa khungu;
• kuchepa mphamvu kumiyendo;
• ana opukusidwa;
• kuchepa kowoneka bwino.

Momwe ziziwonetserozi zimayambira msanga zimatengera omwe adagwiritsidwa ntchito ndi mankhwalawa. Ngati uku ndikuchita insulin mwachangu, ndiye kuti amawonekera mwachangu, ngati insulini pang'onopang'ono - itagwiritsidwa ntchito maola ochepa.

Zoyenera kuchita

Ngati munthu ali ndi chizindikiro cha kuchuluka kwa insulin, ndikofunikira kuchitapo kanthu kuti achulukitse shuga, mwanjira ina akhoza kukhala ndi vuto la hypoglycemic, lomwe limadziwika ndi kutaya chikumbumtima komanso kufa.

Kuti chiwonjezeke mwachangu shuga m'magazi, chakudya chamafuta chofunikira chofunikira. Amapezeka m'mwazi, maswiti, makeke, ndi zina zambiri. Chifukwa chake, ngati pali zizindikiro za bongo, wodwalayo ayenera kupatsidwa kenakake kokoma, ndikuyitanitsa gulu la ambulansi. Pankhaniyi, kuyamwa kwamatenda a glucose ndikofunikira, ndipo ndi wazachipatala wokha amene angachite izi.

Zotsatira zake

Mankhwala osokoneza bongo kwambiri a insulin angayambitse zotsatira zosiyanasiyana. Pakati pawo pali Somoji syndrome, yomwe imayambitsa kupezeka kwa ketoacidosis. Mkhalidwe uwu umadziwika ndi kuwonjezeka kwa magazi a matupi a ketone. Ndipo ngati nthawi yomweyo wodwala salandira chithandizo chamankhwala, imfa imatha kuchitika patangopita maola ochepa.

Limagwirira kukula kwa matenda ashuga ketoacidosis

Kuphatikiza apo, insulin yambiri m'magazi ingayambitse matenda amkati amanjenje, omwe amadziwonetsa:

• kutupa kwaubongo;
• Zizindikiro za meningeal (khosi lolimba ndi khosi, kupweteka mutu, kulephera kugwira miyendo, ndi zina).
• dementia (ndi chitukuko chake, pali kuchepa kwa ntchito zamaganizidwe, ulesi, kukumbukira kwa mawu, etc.).

Nthawi zambiri, kuchuluka kwa insulin kumayambitsa kusokonezeka kwa mtima wam'magazi, zomwe zimapangitsa kuti pakhale kulowerera kwa mtima ndi matenda a sitiroko. Kutuluka kwa magazi kwa retinal komanso kuwonongeka kwa masomphenya kumachitika mwa ena mwa odwala.

Pomaliza, ziyenera kudziwika kuti mukalandira chithandizo chokwanira komanso chanthawi yake ndi mankhwala osokoneza bongo ambiri, inshuwaransi imachitika padera. Ndipo kuti mupewe mavuto obwera chifukwa chogwiritsa ntchito mankhwalawa, ndikofunikira kutsatira malangizo onse a dokotala ndipo musagwiritse ntchito jakisoni wa insulin, pokhapokha ngati pali zizindikiro zapadera za izi.