Kuyesa kwa magazi kwa insulin

Liwu lalikulu limalumikizidwa ndi kupezeka kwa matenda a shuga mellitus - insulin. Ndi matenda a endocrine, kuperewera kwa mahomoni opangidwa ndi kapamba amadziwika. Momwe mungachite kuyesedwa kwa magazi kwa insulin kukana? Kodi njira zoyeserera ndi ziti? Ndi ziti zomwe nditha kudziwa mwakufuna kwanu?

Mumayesa insulini kapena ayi?

Yankho lafunso la omwe angakhale odwala ndilosiyana: kupatsa. Kwa anthu omwe ali pachiwopsezo, izi zimayenera kuchitika pafupipafupi, chaka chilichonse. Kufuna kwawo kupewetsa mankhwala a insulin ndikomveka, koma zimatsimikiziridwa kuti posachedwa pomwe matenda amtundu uliwonse apezeka, ndizothandiza kwambiri ndi chithandizo chake.

Mwa ana ndi achinyamata, chiwonetsero cha matenda ashuga chimachitika mwachangu komanso pachimake. Nthawi zambiri kudzera mu ketoacidosis (mpaka 30% ya odwala onse a 1st). M'mikhalidwe yovuta, kumbuyo kwa glycemic kumakulitsidwa - zoposa 15 mmol / l. Zinthu zapoizoni ndi zinthu zama metabolic zimachitikira zimadziunjikira m'magazi.

Mapangidwe owopsa amasokoneza kulowerera kwa glucose m'maselo ndikuchepetsa kuchuluka kwa insulin yachilengedwe mthupi. Pazizindikiro zoyambirira (fungo la acetone kuchokera mkamwa, khungu lowuma komanso loyera) la kuyambika kwa ketoacidosis, kugonekedwa kuchipatala mwachangu ndi thandizo la akatswiri ndikofunikira.

Odwala okalamba omwe amatenga waukulu Mlingo wa hypoglycemic wothandizira kwa nthawi yayitali koma osawona zotsatira za chithandizo amapatsidwa insulin. Kuyesedwa kwapadera kwa magazi kumaperekedwa kwa odwala oyamba omwe ali pachiwopsezo komanso odwala matenda ashuga omwe akudziwa.

Ndondomeko amatchedwa kuyesa kwa glucose kuyesa (GTT). Chimakupatsani mwayi wopeza theka la anthu odwala matenda ashuga omwe ali mophimbidwa ndi matendawa. Endocrinologists amatcha izi prediabetesic (latent kapena latent).

Anthu omwe ali pachiwopsezo

Ndikofunika kukumbukira kuti mwa anthu omwe ali ndi vuto la matenda ashuga, matendawa amakula, malinga ndi ziwerengero za bungwe la WHO (World Health Organisation), mu 25-45%. Chinthu chachikulu chomwe chimalimbikitsa chiwonetsero cha matenda ndi chibadwa chovuta.

Otsalira ena otsala pafupifupi omwe adagawanikana pakati pawo ngati kuchuluka kwa matenda ashuga:

• matenda omwe amayambitsa kuwonongeka kwa ma pancreatic beta cell (kapamba, khansa);
• ma virus, matenda am'magazi (hepatitis, nthomba, rubella, chimfine);
• kunenepa kwambiri 2 ndi 3 madigiri;
• mwatsatanetsatane kapena mwadzidzidzi nkhawa.

Zina mwazomwe zimatha kusewera zimayambitsa matenda.

Kukhazikitsidwa kuti mtundu woyamba wa matenda ashuga sungakhale wolandiridwa ndi mbali ya amayi kuposa wa abambo. Ngakhale nthenda yachiwiri yachiwiri mwa makolo onse imathanso kukhudza kuonekera kwa matenda mwa ana awo. Mitundu yomwe idapezeka ya matenda a shuga imatheka chifukwa cha zinthu zingapo. Mwachitsanzo, pali umboni wa milandu pomwe mwayi wodwala ndi munthu wonenepa komanso kugwira chimfine ndi chofanana ndi cha wodwala wolemedwa ndi chibadwa.

Matenda a shuga komanso momwe mungazipezere

Mtundu womaliza wa endocrine matenda ungachitike kwa nthawi yayitali. Ndikofunikira munthawi yake kuti kukhazikitse kuphwanya glucose mwa kupenda kuwunika kwa insulin m'magazi. Izi zimapatsa munthu mwayi kuti asamale, achitepo kanthu poyang'anira maboma ndi zakudya. Zotsatira zake, kwakukulu, ndipo mwina kosatha, kuti tisunthire kumbuyo chizindikiritso cha matenda.

Pa nthawi yomwe mayi ali ndi pakati, thupi la mkazi komanso ziwalo zake zonse zimakumana ndi kupsinjika kwakukulu kwa thupi. Imadutsa mayeso a mphamvu ndi chiwalo cha kapamba.

Kuyesedwa kwa shuga kwa shuga ndi chizolowezi chake mwa amuna

Ma neonatologists amakono akhazikitsa njira pakati pa ziwonetsero zina za kubereka ndi mwana wakhanda, zomwe zikuwonetsa kuwonekera kwotsatira kwa matenda ashuga:

• polyhydramnios;
• khama la mwana wosabadwayo;
• jaundice mwa mwana.

Pambuyo pobadwa kwa mwana, kusanthula kwapadera kwa majini kumachitika, malinga ndi momwe mungakhazikitsire lingaliro la matenda ashuga. Kuti muwongole zinthu zomwe zikuthandizira chiwonetsero cha matendawa, madotolo ambiri amalimbikitsa kuti anthu omwe ali pachiwopsezo chosiya kuchotsedwa kwachiwiri.

Chizindikiro cha matenda a shuga 1 amadziwika

Mayeso a kulolerana ndi glucose

Insulin ndiye mahomoni ofunika kwambiri omwe amayang'anira zochita za metabolic m'thupi la munthu. Kuti muwone kukula kwake, vuto la glucose limachitika. GTT isanayambike, kuti tipewe kupotoza zotsatira, zolemba zoyesazo zidathetsa kugwiritsa ntchito mankhwala ochepetsa shuga, salicylates, corticosteroids, estrogens.

Mukamayesa, nkovuta kuganizira zonse, kuphatikizapo:

• matenda opatsirana;
• zosokoneza zina za gawo lina la endocrine dongosolo - chithokomiro chithokomiro;
• matenda a chiwindi, impso.

Wodwalayo, monga ulamuliro, ayenera kukhala pachakudya chake, azichita zolimbitsa thupi tsiku lililonse.

Wopereka magazi moyenera ayenera:

• pamimba yopanda kanthu
• mumkhalidwe wodekha;
• munthawi inayake (kuyambira maola 10 mpaka 16).

Bungwe la WHO likuti achikulire amaloledwa kugwiritsa ntchito shuga m'magawo 75. Pambuyo pake, kuyezetsa magazi katatu kumachitika kwa maola awiri. Nthawi yoyamba ili pamimba yopanda kanthu.

Kodi kuyesa kwa insulin kumawonetsa chiyani? Malinga ndi akatswiri, kuzindikira kwa matenda ashuga "mukukayika" kungapangike pamaziko ngati chimodzi mwazitsanzo zimaposa mtengo wamba.

Chifukwa chake, zizindikiro zotsatirazi zizipeza mtundu wa matenda ashuga a GTT:

• pamimba yopanda kanthu - 6.12 mmol / l;
• pambuyo pa ola limodzi - 10,02 mmol / l;
• pambuyo 2 maola - 7, 31 mmol / l.

Kukongoletsa koyesedwa kopanda magazi m'mimba

Mayeso ena ndi njira zodziwira matenda ashuga

Gawo lotsatira lazindikire wodwala matenda ashuga liyenera kudziwa kuchuluka kwa glycemic miyezi ingapo. Kuyesaku kumatchedwa kuyesa kwa glycosylated kapena glycated hemoglobin. Zomwe zimapangidwira kuti zimawerengedwa kuchokera pa 5 mpaka 7 mmol / l.

Gawo lachitatu pa chiganizo chomaliza cha mkhalidwe weniweni waumoyo ndi kusanthula kwa C-peptide. M'makliniki ambiri otsogolera odwala kuchipatala omwe akuwaganizira kuti ali ndi matenda osokoneza bongo, chidziwitso chothandizira ndichoyenera.

Achinyamata angapo odwala matenda amtundu woyamba adazindikira kuti adayamba kudwala matenda ashuga. Pambuyo pa hypoglycemia (shuga yamagazi) yayitali.

Pali ubale wokhazikika pakati pa zomwe zimayambitsa matendawa ndi zovuta zomwe zimapangitsa chitetezo cha m'thupi. Ma antibodies amaoneka m'magazi, zomwe zimapangidwa motsutsana ndi maselo awo mthupi la wodwalayo. Maselo a pancreatic beta amawonongeka.

Ndipo nthano ina yokhudza matenda ashuga imatha. Okonda makeke, makeke, maswiti, zokonda zawo zam'magazi zitha kungoyambitsa matenda a endocrinological, kudzera kunenepa kwambiri. Sikuti maswiti omwe ndi ovuta, koma kudya kwambiri komanso kusachita zolimbitsa thupi.