Matenda ambiri osachiritsika nthawi zambiri amakhala isanayambike matenda ashuga.
Mwachitsanzo, hyperinsulinemia mwa ana ndi akulu imapezeka kawirikawiri, koma ikuwonetsa kupanga kwa mahomoni ambiri omwe angapangitse kuchepa kwa shuga, kusowa kwa mpweya ndi kuperewera kwa dongosolo lonse lamkati. Kuperewera kwa njira zochizira zomwe cholinga chake kupondereza kupanga insulin zingayambitse kukula kwa matenda osokoneza bongo.
Zoyambitsa matenda
Hyperinsulinism mu terminology yamankhwala imadziwika kuti ndi matenda opatsirana, zomwe zimachitika motsutsana ndi maziko a kuchuluka kwambiri kwa insulin.
Munthawi imeneyi, thupi limachepetsa phindu la shuga m'magazi. Kuperewera kwa shuga kumatha kupangitsa kuti mpweya uzikhala ndi ubongo, womwe ungayambitse kuti ntchito yamanjenje iwonongeke.
Hyperinsulism nthawi zina imakhalapo popanda chiwonetsero chapadera cha matenda, koma nthawi zambiri matendawa amabweretsa kuledzera kwambiri.
Mitundu ya matenda:
- Congenital Hyperinsulinism. Zimatengera kutengera kwa chibadwa. Matendawa amakula motsutsana ndi maziko a njira za pathological mu kapamba omwe amasokoneza kupanga kwachilengedwe kwa mahomoni.
- Second Hyperinsulinism. Fomuyi imapita patsogolo chifukwa cha matenda ena omwe amachititsa kuti mahomoni azitulutsidwa kwambiri. Ntchito hyperinsulinism imakhala ndi mawonetseredwe omwe amaphatikizidwa ndi kupuwala kwa metabolism ndipo amadziwika ndi kuwonjezeka kwadzidzidzi kwa glucose.
Zinthu zazikulu zomwe zingayambitse kuchuluka kwa mahomoni:
- kupanga kwa maselo a pancreatic a insulin yosayenera yokhala ndi mawonekedwe osadziwika omwe samadziwika ndi thupi;
- kukana, zomwe zimapangitsa kuti pakhale kusalamulika kwa mahomoni;
- zopatuka potulutsa shuga m'magazi;
- onenepa kwambiri;
- atherosulinosis;
- kubadwa mwabadwa;
- anorexia, yomwe ili ndi chikhalidwe cha neurogenic ndipo imalumikizidwa ndi lingaliro lowona mopepuka la kunenepa kwambiri kwa thupi;
- njira ya oncological pamimba;
- zakudya zopanda thanzi komanso zosayenera;
- kuvutitsidwa kwa maswiti, zomwe zimayambitsa kuwonjezeka kwa glycemia, ndipo, chifukwa chake, kuchuluka kwa katulutsidwe ka mahomoni;
- matenda a chiwindi;
- insulin yosasinthika mankhwala kapena kudya kwambiri mankhwala kuti muchepetse shuga, komwe kumabweretsa mawonekedwe a hypoglycemia;
- endocrine pathologies;
- osakwanira enzyme zinthu nawo metabolic njira.
Zomwe zimayambitsa hyperinsulinism sizitha kudziwonetsa kwa nthawi yayitali, koma panthawi imodzimodzi zimayipitsa ntchito ya chiwalo chonse.
Magulu owopsa
Magulu otsatirawa a anthu nthawi zambiri amakhudzidwa ndi chitukuko cha hyperinsulinemia:
- azimayi omwe ali ndi matenda a ovary polycystic;
- anthu omwe ali ndi cholowa chamtundu chifukwa cha matendawa;
- odwala ndi mkhutu ntchito;
- azimayi atatsala pang'ono kusamba;
- anthu okalamba
- odwala osagwira ntchito;
- azimayi ndi abambo omwe amalandira mankhwala a mahomoni kapena mankhwala a beta-blocker.
Zizindikiro za Hyperinsulinism
Matendawa amathandizira kuwonjezeka kwambiri kwa thupi, kotero zakudya zambiri sizothandiza. Mafuta amaikidwa mwa akazi amapangidwa m'chiuno, komanso m'mimba. Izi zimachitika chifukwa cha kuchuluka kwa insulin yomwe imasungidwa mu mafuta ena ake (triglyceride).
Kuwonetsedwa kwa hyperinsulinism kwakukulu kuli kofanana ndi zizindikiro zomwe zimayamba motsutsana ndi maziko a hypoglycemia. Kukhazikika kwa chizindikiritso kumadziwika ndi kulakalaka, kufooka, thukuta, tachycardia komanso kumverera kwa njala.
Pambuyo pake, dziko lamantha limalumikizana pomwe kupezeka kwa mantha, nkhawa, kunjenjemera miyendo ndi kukwiya kumadziwika. Ndipo pali chisokonezo pansi, dzanzi m'miyendo, mawonekedwe a kugwidwa ndikotheka. Kuperewera kwa chithandizo kumatha kuchititsa kuti musamaganize bwino.
Kukula kwa matenda:
- Zosavuta. Zimadziwika ndi kusapezeka kwa zizindikiro zilizonse pakukangana, koma nthawi yomweyo zimapitilizabe kukhudza ubongo. Wodwalayo akuwonjezera kuwonjezereka kwa nthawi osachepera 1 mwezi wa kalendala. Kuti muthane ndi vutoli, ndikokwanira kugwiritsa ntchito mankhwala oyenera kapena kudya zakudya zotsekemera.
- Yapakatikati. Pafupipafupi kukomoka kangapo pamwezi. Munthu akhoza kulephera kuchita chidwi panthawiyi kapena kugwa.
- Zovuta. Kuchuluka kwa matendawa kumayendera limodzi ndi kuwonongeka kwa ubongo kosasintha. Nthawi zambiri anthu amatsutsidwa.
Mawonekedwe a hyperinsulism kwenikweni samasiyana mwa ana ndi akulu. Chimodzi mwa zomwe matendawa amadwala ndikuwonjezera kukomoka komwe kumayambira kumbuyo kwa glycemia, komanso kuthamanga kwawo mobwerezabwereza. Zotsatira zakuchulukirachulukira ndikukhazikika kwawoko ndi mankhwala ndikuphwanya thanzi la m'maganizo mwa ana.
Kodi matendawa ndi oopsa bwanji?
Matenda amtundu uliwonse angayambitse zovuta ngati palibe chochitika munthawi yake. Hyperinsulinemia sikuti ndi yosiyana, motero, imayendetsedwa ndi zotsatira zowopsa. Matendawa amatuluka pachimake komanso matenda osachiritsika. Kuphunzira kumene kumapangitsa kuti zochita za ubongo zisokonezeke, zimakhudza ma psychosomatic state.
Zovuta zazikulu:
- zosokoneza pakugwira ntchito kwamakina ndi ziwalo zamkati;
- chitukuko cha matenda a shuga;
- kunenepa
- chikomokere
- kupatuka mu ntchito yamtima;
- encephalopathy;
- parkinsonism
Hyperinsulinemia yomwe imachitika paubwana imakhudza kukula kwa mwana.
Zizindikiro
Nthawi zambiri zimakhala zovuta kudziwa matendawa chifukwa chosapezeka mwatsatanetsatane.
Ngati vuto la kupezeka bwino lapezeka, kufunsira kwa dokotala ndikofunikira, komwe kungadziwe komwe kumayambira izi pogwiritsa ntchito mayeso otsatirawa:
- kusanthula kwa mahomoni opangidwa ndi pituitary gland ndi kapamba;
- Pituitary MRI yolamula oncology;
- Ultrasound yam'mimba;
- kupanikizika koyezera;
- kuyang'ana glycemia.
Kuzindikira kumakhazikika pakuwunika kwa zotsatira za mayeso ndi zodandaula za wodwala.
Kuchiza matenda
Mankhwalawa amatengera machitidwe a matendawa, motero, amasiyananso nthawi yanthawi yochulukirapo komanso kuchotsedwa. Poletsa kuukira, kugwiritsa ntchito mankhwala kumafunika, ndipo nthawi yonseyo ndikukwanira kutsatira kadyedwe ndikuchiza matenda oyambitsa matenda a shuga.
Thandizo lakuonjezera:
- kudya zakudya zopatsa thanzi kapena kumwa madzi okoma, tiyi;
- jekeseni wa shuga mu ndege kuti mulimbitse boma (kuchuluka kwake - 100 ml / 1 nthawi);
- kumayambiriro kwa chikomokere, magazi a mtsempha wa magazi ayenera kuchitidwa;
- pakalibe kusintha, jakisoni wa adrenaline kapena glucagon uyenera kuperekedwa;
- gwiritsani ntchito bata munthawi ya kupunthwa.
Odwala omwe ali ndi vuto lalikulu amayenera kupita kuchipatala ndi kulandira chithandizo moyang'aniridwa ndi madokotala. Ndi zotupa za England, kutengera kwa chiwalo ndi kuchitidwa opaleshoni kungafunike.
Zakudya za hyperinsulinemia zimasankhidwa poganizira zovuta za matendawa. Pafupipafupi komanso kovuta kusiya kukomoka kumaphatikizapo kupezeka kwa kuchuluka kwa chakudya chamagulu m'zakudya za tsiku ndi tsiku (mpaka 450 g). Zakudya zamafuta ndi zakudya zama protein zimayenera kusungidwa m'njira yokhazikika.
Munthawi yoyenera matendawa, kuchuluka kwa chakudya chopatsa mphamvu zomwe zimaperekedwa patsiku sikuyenera kupitirira 150. Maswiti, confectionery, mowa siziyenera kuphatikizidwa ndi zakudya.
Kanema kuchokera kwa katswiri:
Malangizo othandiza
Kuti muchepetse kuwonetsa kwa hyperinsulinemia, ndikofunikira kuyang'anitsitsa njira ya matenda ashuga ndikutsatira malangizo akuluakulu:
- idyani pang'ono komanso moyenera;
- Nthawi zonse onani kuchuluka kwa glycemia, sinthani ngati pakufunika;
- kutsatira zofunika regimen;
- khalani ndi moyo wathanzi.
Ngati kuphatikiza kwa insulin kwambiri chifukwa cha matenda enaake, ndiye kuti kupewetsa khunyu kumachepetsedwa ku chithandizo cha matenda am'mimba, omwe amakhala ngati chifukwa chachikulu cha mawonekedwe awo.
