Chenjezo lobisika musanachite matenda a shuga: Dziwani za kukana insulini

Kodi mumaopa pang'ono mawu akuti matenda a shuga? Kapena dokotala wanu adakuuzanipo kuti muli ndi vuto la insulin, ndipo mukusokonezeka kuti ndi chiyani? Musadandaule. Lero, tikambirana za vuto ili lotchedwa insulin resistance m'njira yosavuta komanso yochezeka. Lili ngati chenjezo la chete lomwe thupi lathu limatipatsa matenda a shuga asanayambe.

Mwachidule, kodi kukana insulini ndi chiyani?

Taganizirani izi, maselo m'thupi lathu ali ngati nyumba zazing'ono. Nyumbazi zimafuna mphamvu kuti zigwire ntchito. Mphamvu imeneyo imachokera ku shuga wotchedwa shuga, womwe umapangidwa kuchokera ku chakudya chomwe timadya. Kuti shuga uyu uchoke m'magazi kupita m'nyumba zotchedwa maselo, amafunika kiyi yotsegulira chitseko. Kiyi imeneyo ndi mahomoni otchedwa insulin . Kiyi ya insulin iyi imapangidwa ndi kapamba wathu.

Mukadya, shuga amalowa m'magazi. Nthawi yomweyo, kapamba amatulutsa kiyi yotchedwa insulin m'magazi. Pamene insulin imatsegula zitseko za maselo, shuga amalowa m'maselo ndipo amakhala mphamvu.

Tsopano onani zomwe zimachitika kwa munthu amene ali ndi vuto la insulin.

Maselo anu sayankha bwino kiyi ya insulin iyi. Ili ngati loko yotsekeka ndi dzimbiri. Kiyiyo sitsegula chitseko bwino. Choncho shuga, yomwe singalowe m'maselo, imayamba kusonkhana m'magazi.

Pa nthawiyi, ubongo umaganiza kuti, "O, pali shuga wambiri m'magazi, ndikufunika makiyi ambiri." Choncho kapamba amalandira uthenga womuuza kuti apange insulin yambiri. Pakapita nthawi, kapamba amatopa, amapanga insulin yambiri, ndipo pamapeto pake ntchito yake imatha kuchepa. Pamenepo ndiye pamene shuga m'magazi amayamba kukwera.

Kusiyana pakati pa kukana insulini, pre-diabetes, ndi matenda a shuga

Ngakhale kuti zitatuzi ndi zofanana, sizili zofanana. Tiyeni tiwone kuchokera patebulo.

Kodi zizindikiro za vutoli ndi ziti?

Vuto lalikulu apa ndilakuti kukana insulin ndi vuto losamveka bwino . Mutha kukhala nalo m'thupi lanu kwa zaka zambiri osadziwa. Njira yokhayo yodziwira bwino ndikuyesa magazi.

Komabe, pali zizindikiro zina zakunja zomwe zimagwirizanitsidwa ndi vutoli. Yang'anani ngati muli ndi izi:

• Kuzungulira chiuno: Kuzungulira chiuno kwa amayi opitirira mainchesi 40 ndi akazi opitirira mainchesi 35.
• Kuthamanga kwa magazi: Kuthamanga kwa magazi kwa 130/80 mmHg kapena kupitirira apo.
• Zovuta pa mayeso a magazi:
• Kusala kudya shuga m'magazi kuposa 100 mg/dL.
• Ma triglyceride ochulukirapo kuposa 150 mg/dL.
• Mulingo wabwino wa cholesterol (HDL cholesterol) wochepera 40 mg/dL mwa amuna ndi wochepera 50 mg/dL mwa akazi.
• Kusintha kwa khungu:
• Khungu la pakhosi ndi m'khwapa limakhala lakuda komanso losalala. Izi zimadziwika kuti Acanthosis Nigricans .
• Kuoneka kwa tinthu tating'onoting'ono (ma tag a khungu) tomwe timaoneka ngati tikulendewera pakhungu.

Kodi ndi chifukwa chiyani kukana kwa insulin kumachepa?

N'zovuta kudziwa chifukwa chimodzi chomwe chimayambitsa izi, koma akatswiri apeza zinthu zingapo zomwe zimawonjezera chiopsezo.

• Kulemera kwambiri kwa thupi: Kuchulukana kwa mafuta, makamaka m'mimba (mafuta am'mimba).
• Kusachita masewera olimbitsa thupi komanso moyo wongokhala: Kusachita masewera olimbitsa thupi.
• Zakudya zokhala ndi chakudya chambiri: Kudya buledi, mpunga, zakudya zotsekemera, ndi zakumwa zotsekemera kwambiri.
• Mbiri ya banja: Wina m'banjamo ali ndi matenda a shuga.
• Zaka: Chiwopsezo chimawonjezeka munthu akakwanitsa zaka 45.
• Matenda a Shuga a Mimba: Amayi omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu chotenga matendawa pambuyo pake.
• Matenda ena: Matenda a chiwindi amafuta osamwa mowa ndi Polycystic Ovary Syndrome (PCOS).
• Kusuta fodya.
• Mankhwala ena: Kugwiritsa ntchito mankhwala ena kwa nthawi yayitali, monga ma steroids.
• Mavuto a tulo: Zinthu monga kupuma movutikira panthawi yogona (sleep apnea).

Kugwirizana pakati pa kukana insulini ndi PCOS

Pali mgwirizano wamphamvu pakati pa polycystic ovary syndrome (PCOS), vuto lomwe limakhudza akazi ambiri, ndi kukana insulini. Azimayi ambiri omwe ali ndi PCOS alinso ndi kukana insulini. Kugwirizana kwenikweni pakati pa awiriwa kukufufuzidwabe.

Kodi mwapeza bwanji izi, Dokotala?

Palibe njira imodzi yoyesera yokha yodziwira kukana kwa insulin. Dokotala wanu adzayang'ana zinthu zosiyanasiyana kuti adziwe vutoli.

1. Kukufunsani mafunso: Kukufunsani za mbiri ya thanzi la banja lanu komanso moyo wanu.

2. Kuyezetsa thupi: Kulemera kwanu, kutalika kwanu, ndi BMI yanu zidzayezedwa. Kuthamanga kwa magazi anu kudzayezedwa.

3. Kuyezetsa magazi: Izi ndi zofunika kwambiri.

• Kusala Kudya kwa Glucose wa Plasma (FPG): Kuyezetsa magazi komwe kumachitika munthu atasala kudya kwa maola osachepera 8.
• Mayeso Ololera Shuga M'kamwa (OGTT): Choyamba, magazi osala kudya amatengedwa, kenako amapatsidwa madzi a shuga kuti amwe, ndipo magaziwo amayesedwanso patatha maola awiri.
• Hemoglobin A1c (HbA1c): Izi zimakupatsani chithunzi cha kuchuluka kwa shuga m'magazi mwanu m'miyezi 2-3 yapitayi.
• Lipid Panel: Imayang'ana kuchuluka kwa cholesterol ndi triglyceride m'magazi.

Zotsatirazi zingakuthandizeni kudziwa ngati muli ndi prediabetes :

• Kuthamanga kwa magazi: 100-125 mg/dL
• OGTT (pambuyo pa maola awiri): 140-199 mg/dL
• A1c: 5.7% - 6.4%

Kodi tingalamulire bwanji vutoli?

Nkhani yabwino ndi yakuti kukana insulin nthawi zambiri kumatha kuthetsedwa! Chinsinsi cha zimenezi ndikusintha moyo. Zinthu zimenezi ndi zamphamvu kwambiri kuposa mankhwala.

1. Kuchita masewera olimbitsa thupi

Mukakhala ndi mphamvu, minofu yanu imafunikira mphamvu. Imakhala yogwirizana kwambiri ndi insulin ndipo imayamba kugwiritsa ntchito shuga m'magazi mwanu. Ngakhale kuchita masewera olimbitsa thupi monga kuyenda mwachangu kwa mphindi 30 patsiku, masiku osachepera 5 pa sabata, kungapangitse kusiyana kwakukulu.

2. Kusunga kulemera koyenera

Ngakhale kutaya 5% mpaka 7% ya kulemera kwa thupi lanu kungachepetse kwambiri chiopsezo chanu chokhala ndi matenda a shuga. Mwachitsanzo, ngati mukulemera makilogalamu 100, kutaya makilogalamu 5-7 ndi nkhani yaikulu. Funsani dokotala wanu kuti akupatseni upangiri pankhaniyi.

3. Kusintha zakudya

Palibe zakudya zamatsenga zenizeni pa izi, koma ndikofunikira kudziwa zinthu zina.

• Zakudya zokhala ndi ulusi wambiri: Zakudya monga tirigu wathunthu, nyemba, ndiwo zamasamba, ndi zipatso zimawonjezera kumva kukhuta ndikuchepetsa liwiro lomwe shuga imalowa m'magazi.
• Zakudya zokhala ndi GI yotsika: Mwachidule, izi ndi zakudya zomwe sizimakweza shuga m'magazi mwachangu mutadya.
• Idyani pafupipafupi (Low-GI): Ndiwo zamasamba ndi zipatso zambiri, mpunga wofiirira, nandolo, mphodza, yogurt.
• Idyani nthawi zina (pakati-GI): Bulawudi wa tirigu wonse, nthochi, chimanga.
• Chepetsani kuchuluka komwe mungathe (High-GI): buledi woyera, mpunga woyera, makeke, mabisiketi, zakumwa zotsekemera, mbatata.

4. Zinthu zina zofunika

• Pewani kusuta fodya.
• Kulamulira kupsinjika maganizo.
• Gonani mokwanira (osachepera maola 7 patsiku).

Tiyeni tiphunzirenso za mankhwala: Palibe mankhwala enieni oletsa insulin. Komabe, ngati muli pachiwopsezo chachikulu chotenga matenda a shuga, dokotala wanu angakulembereni mankhwala monga Metformin . Koma dokotala yekha ndi amene angasankhe.