Kodi thupi lanu silikuyankha bwino ku insulin? (Kukana Insulin) Tiyeni tiphunzire mosavuta!

Lero tikambirana za mawu omwe anthu ambiri amalankhula, komanso ndi owopsa pang'ono. Limenelo ndi 'Kukana Insulin'. Mwina dokotala wanu wakuuzani za izi, kapena mwawerengapo za izo kwinakwake. Kodi kwenikweni ndi chiyani? Nchifukwa chiyani ndi lofunika kwambiri? Tiyeni timvetse zonsezi mosavuta.

Ndiye kodi 'Insulin Resistance' ndi chiyani?

Mwachidule, kukana insulini kumachitika pamene maselo m'thupi lanu, makamaka omwe ali m'minofu yanu, maselo amafuta, ndi chiwindi, sayankha bwino ku insulin ya mahomoni. Izi zimatchedwanso kuti insulin sensitivity.

Taganizirani izi, insulin ndi gawo lofunika kwambiri m'thupi lathu. Ili ngati chowongolera magalimoto m'thupi lathu. Ndi chomwe chimatithandiza kutumiza shuga, kapena shuga amene timadya kuchokera m'magazi athu, m'maselo athu kuti apange mphamvu. Tsopano, chimachitika ndi chiyani maselo akamalephera kumvera insulin iyi bwino? Shuga m'magazi sangalowe m'maselo ndipo amasonkhana m'magazi.

Kodi chimachitika ndi chiyani? Nanga chimachitika ndi kapamba?

Apa ndi pomwe vuto limayamba. Pancreas yathu - fakitale ya insulin ya thupi lathu - imazindikira kuti, "O, shuga m'magazi akukwera kwambiri, ndipo sakulowa m'maselo." Ndiye kodi kapamba amachita chiyani? Imayamba kupanga insulin yambiri kuti ilamulire kuchuluka kwa shuga m'magazi. Zili ngati kukankhira chitseko kuti chitseguke pamene sichingathe kutseguka. Timachitcha hyperinsulinemia.

Kwa kanthawi, ngati kapamba angapangitse insulini yambiri mwanjira imeneyi ndikulamulira kuchuluka kwa shuga m'magazi, palibe vuto lalikulu. Koma, pang'onopang'ono, pamene maselo akuyamba kukana insulini, mosasamala kanthu kuti kapamba amatulutsa insulin yochuluka bwanji, sikokwanira. Pamenepo ndi pomwe kuchuluka kwa shuga m'magazi kumayamba kukhala kokwera nthawi zonse. Timatcha izi 'hyperglycemia'.

Kodi 'kukana insulin' kumeneku n'koopsa? Kodi zotsatira zake zingakhale zotani?

Inde, ngati mupitiriza kuchita izi, zingakhale zoopsa pang'ono. Chifukwa, ngati kuchuluka kwa shuga m'magazi kukupitirira kwa nthawi yayitali, mutha kukhala ndi 'prediabetes'. Izi zikutanthauza kuti muli pafupi kudwala matenda a shuga. Kenako, muli ndi mwayi waukulu wopeza matenda a shuga a mtundu wachiwiri.

Si zokhazo, vutoli likugwirizana ndi mavuto ena ambiri azaumoyo:

• Kunenepa kwambiri , makamaka mafuta ochulukirapo m'mimba.
• Matenda a mtima , zomwe zikutanthauza matenda a mtima ndi mavuto a mitsempha yamagazi.
• Matenda a chiwindi a steatotic omwe amagwirizana ndi vuto la kagayidwe kachakudya , omwe kale ankadziwika kuti matenda a chiwindi amafuta osamwa mowa.
• Matenda a kagayidwe kachakudya.Iyi si matenda amodzi okha, koma zizindikiro zambiri zomwe zimasonkhana. Mwachitsanzo, zinthu monga kuthamanga kwa magazi, shuga wambiri m'magazi, mafuta ambiri m'mimba, komanso kusalinganika kwa cholesterol.
• Matenda a Polycystic Ovary Syndrome (PCOS). Uku ndi kusalinganika kwa mahomoni komwe kumachitika mwa akazi.

Ndani amene ali ndi mwayi waukulu wokhala ndi 'insulin resistance'?

Zingachitikedi kwa aliyense. Simuyenera kukhala ndi matenda a shuga. Nthawi zina zimatha kukhala zakanthawi kochepa. Mwachitsanzo, ngati mutenga mankhwala a steroid kwa kanthawi chifukwa cha matenda, mutha kukhala ndi vuto la insulin. Zithanso kukhala zosatha, zomwe zikutanthauza kuti ndi matenda a nthawi yayitali.

Pali zinthu ziwiri zazikulu zomwe zikuganiziridwa kuti zimakhudza izi:

1. Mafuta ochulukirapo m'thupi , makamaka kuzungulira mimba yanu.

2. Kusachita masewera olimbitsa thupi , zomwe zikutanthauza kusachita masewera olimbitsa thupi.

Komanso, ngati wina m'banja mwanu ali ndi matenda a shuga (makamaka mtundu wachiwiri wa shuga), matenda a shuga a prediabetes, kapena matenda monga polycystic ovary syndrome (PCOS), mungakhalenso ndi vuto la kukana insulin.

Kukana kwa insulin kumachitika kawirikawiri kwa anthu omwe ali ndi matenda a shuga asanafike komanso matenda a shuga a mtundu wachiwiri. Anthu omwe ali ndi matenda a shuga a mtundu woyamba nthawi zina amathanso kukhala ndi kukana kwa insulin.

Kodi zizindikiro za izi ndi ziti? Kodi tikudziwa bwanji?

Vuto ndi ili. Nthawi zambiri, ngati kapamba wanu amatha kupanga insulin yambiri ndikulamulira kuchuluka kwa shuga m'magazi mwanu, mwina simungakhale ndi zizindikiro zilizonse. Mwina simukudziwa.

Komabe, pakapita nthawi, vutoli limatha kuipiraipira pang'onopang'ono. Maselo a kapamba omwe amapanga insulin nawonso amayamba kufooka pang'onopang'ono. Pamapeto pake, kapamba sangathe kupanga insulin yokwanira. Pamenepo ndi pomwe shuga m'magazi amayamba kukwera ndipo zizindikiro zimayamba kuonekera.

Ngati shuga m'magazi mwanu akukwera, mutha kuwona zizindikiro monga:

• Kuchepetsa thupi popanda chifukwa
• Kumva kutopa nthawi zonse
• Kumva ludzu kwambiri kuposa masiku onse
• Kukodza pafupipafupi
• Kumva njala kwambiri kuposa masiku onse
• Maso osawoneka bwino
• Matenda a yisiti omwe amafala pafupipafupi (makamaka m'mimba mwa akazi komanso nthawi zina m'makwinya a khungu mwa akazi)

Anthu ambiri omwe ali ndi matenda a shuga asanakwane sakhala ndi zizindikiro zilizonse, nthawi zina kwa zaka zambiri. Matenda a shuga asanakwane sangasonyeze zizindikiro zilizonse mpaka atakula kukhala matenda a shuga a mtundu wachiwiri. Komabe, anthu ena omwe ali ndi matenda a shuga asanakwane sangasonyeze zizindikiro monga:

• Kuda kwa m'khwapa mwanu, kumbuyo kwa khosi lanu, ndi mbali za thupi lanu . Izi zimatchedwa acanthosis nigricans . Zimawoneka ngati dothi, koma si dothi.
• Ziphuphu zazing'ono pakhungu .
• Kusintha kwa maso . Izi zingayambitse kuwonongeka kwa maso chifukwa cha matenda a shuga (diabetes-related retinopathy).

Chofunika: Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, onetsetsani kuti mwaonana ndi dokotala wanu. Ndikofunikira kwambiri.

N’chifukwa chiyani timapeza 'insulin resistance'? Kodi zimayambitsa chiyani?

Asayansi akufufuzabe kuti adziwe momwe izi zimachitikira. Pakadali pano zikudziwika kuti majini ena amatha kupangitsa munthu kukhala ndi vuto la insulin. Madokotala amadziwanso kuti vutoli limakula kwambiri akamalemera, ndipo kuchepetsa thupi kungathandize kulilamulira pang'ono.

Kupatula apo, pali zifukwa zina zingapo.

Zomwe zimayambitsa

Izi si zifukwa zomwe timabadwira nazo, koma zifukwa zomwe zimabuka pa moyo wathu.

• Mafuta ochulukirapo m'thupi: Asayansi amakhulupirira kuti kunenepa kwambiri ndiye chifukwa chachikulu cha kukana insulin. Mafuta omwe amaikidwa m'mimba ndi kuzungulira ziwalo zamkati (mafuta a m'mimba) amawonjezera kwambiri chiopsezo.
• Kusachita masewera olimbitsa thupi: Mukachita masewera olimbitsa thupi, thupi lanu limakhala lomvera kwambiri insulin. Kuchita masewera olimbitsa thupi kumathandizanso minofu yanu kuyamwa shuga m'magazi anu, zomwe zingayambitse vutoli.
• Zakudya: Kudya zakudya zopangidwa ndi zinthu zambiri, zakudya zokhala ndi chakudya chambiri, ndi zakudya zokhala ndi mafuta ambiri okhuta zapezeka kuti zimagwirizana ndi kukana kwa insulin.
• Mankhwala ena: Mankhwala ena, monga ma steroid, mankhwala ena a kuthamanga kwa magazi, ndi mankhwala omwe amagwiritsidwa ntchito pochiza kachilombo ka HIV, angayambitsenso kukana insulin.

Matenda a mahomoni omwe amayambitsa kukana kwa insulin

Mavuto ena a mahomoni angakhudzenso momwe thupi limagwiritsira ntchito insulin.

• Matenda a Cushing: Izi sizichitika kawirikawiri. Zimachitika pamene thupi lili ndi mahomoni otchedwa cortisol ambiri. Cortisol yochuluka imasokoneza ntchito ya insulin.
• Acromegaly: Ichi ndi vuto losowa kwambiri koma loopsa. Limachitika pamene thupi lili ndi mahomoni ochulukirapo (GH). Izi zingayambitsenso kuti insulin isagwire bwino ntchito.
• Hypothyroidism: Izi zikutanthauza kuti chithokomiro chanu sichikugwira ntchito bwino, zomwe zikutanthauza kuti sichikupanga mahomoni okwanira a chithokomiro. Izi zimachepetsa kagayidwe kanu ka chakudya, zomwe zingayambitsenso kukana insulin.

Matenda a majini omwe amayambitsa kukana kwa insulin

Pali matenda ena a majini omwe amabadwa nawo ndipo angayambitsenso kukana insulin. Izi sizichitika kawirikawiri. Zitsanzo zake ndi monga matenda otchedwa Type A insulin resistance syndrome ndi Donohue syndrome.

Ndi matenda ena angapo a majini:

• Myotonic dystrophy: Iyi ndi mtundu wa kufooka kwa minofu komwe kumakhudza minofu, maso, ndi ziwalo za dongosolo la endocrine.
• Matenda a Alström: Matendawa amayambitsa kunenepa kwambiri komanso matenda a shuga amtundu wa 2. Angayambitsenso kulephera kuona ndi kumva, kutsegula mtima, komanso kupuma movutikira.
• Matenda a Werner: Izi zimayambitsa kukalamba msanga (progeria). Zimakhudza zinthu zambiri m'thupi, kuphatikizapo kukana insulin.
• Lipodystrophy yobadwa nayo: Mu mkhalidwe uwu, thupi lanu siligwiritsa ntchito kapena kusunga mafuta moyenera.

Kodi madokotala amazindikira bwanji izi?

Kukana kwa insulin ndi kovuta kuzindikira molondola, chifukwa palibe mayeso enieni komanso odziwika bwino. Monga tanenera kale, ngati kapamba wanu atha kupanga insulin yokwanira kuwongolera vutoli, simudzakhala ndi zizindikiro zilizonse.

Komabe, dokotala wanu akakayikira vutoli, adzaganizira zinthu zingapo:

• Mbiri yanu yachipatala (monga matenda am'mbuyomu ndi mankhwala omwe mumamwa)
• Mbiri ya thanzi la banja lanu (kodi pali aliyense m'banja mwanu amene ali ndi matenda a shuga kapena matenda a mtima?)
• Kuyezetsa thupi
• Zizindikiro zomwe mukufotokoza

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala angachite mayeso angapo a magazi, monga:

• Kuyesa shuga: Kuyesa shuga m'magazi mosadya (FPG) kapena kuyesa shuga m'magazi nthawi zonse kungakuthandizeni kudziwa ngati muli ndi matenda a shuga, matenda a shuga amtundu wachiwiri, kapena matenda a shuga a mimba.
• Kuyesa kwa A1c: Izi zingakuuzeni momwe shuga m'magazi mwanu mwakhalira m'miyezi itatu yapitayi.
• Lipid panel: Izi zimayesa mitundu yosiyanasiyana ya mafuta (monga cholesterol ndi triglycerides) m'magazi anu.

Ndiye, mumatani ndi izi? (Chithandizo)

Sizinthu zonse zomwe zimayambitsa kukana insulin zomwe zingachiritsidwe, monga majini ndi ukalamba. Chifukwa chake, chithandizo chachikulu ndikusintha moyo.

Kusintha kwa moyo wanu ndi uku:

• Idyani zakudya zopatsa thanzi: Dokotala wanu angakuuzeni kuti muchepetse kudya chakudya cham'mimba ndi mafuta osapatsa thanzi. Izi zikutanthauza kuti muchepetse kudya shuga, nyama yofiira, ndi zakudya zokhala ndi sitachi. M'malo mwake, angakuuzeni kuti mudye ndiwo zamasamba, zipatso, nyemba, ndi tirigu wonse. Pa mapuloteni, nsomba ndi nkhuku ndi njira zabwino.
• Kuchita masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi pang'ono tsiku lililonse kumathandiza kwambiri.Izi zimawonjezera kugwiritsa ntchito shuga m'magazi kuti apeze mphamvu, komanso zimawonjezera mphamvu ya insulin m'minofu.
• Kuchepetsa thupi: Nthawi zina, kuchepetsa thupi kungathandize kuchepetsa kukana kwa insulin. Dokotala wanu angakuuzeni njira zokuthandizani kuchepetsa thupi.

Pakapita nthawi, kusintha kwa moyo kumeneku kungayambitse zotsatira monga izi:

• Kuchepa kwa kukana kwa insulin
• Kuchepa kwa shuga m'magazi
• Kuthamanga kwa magazi kotsika
• Kuchepa kwa triglyceride ndi LDL (cholesterol yoyipa)
• Kuchuluka kwa HDL (cholesterol yabwino)

Dokotala wanu angakutumizireninso kwa katswiri, monga katswiri wa zakudya kapena endocrinologist. Adzagwira nanu ntchito kuti apange dongosolo la chithandizo lomwe likugwirizana ndi inu.

Kodi pali mankhwala apadera a izi?

Pakadali pano, palibe chithandizo chapadera cha kukana insulin. Komabe, dokotala wanu angakupatseni mankhwala a matenda ena omwe mungakhale nawo. Zitsanzo zina ndi izi:

• Mankhwala ochizira kuthamanga kwa magazi
• Mankhwala monga Metformin a matenda a shuga kapena prediabetes
• Mankhwala monga ma statins ochepetsa cholesterol ya LDL

Kodi kukana insulini kungabwezeretsedwe? (Kusinthika)

Popeza pali zinthu zambiri zomwe zimayambitsa izi, sizinthu zonse zomwe zingasinthe. Komabe, kusintha kwa moyo kungapangitse kusiyana kwakukulu. Kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse, komanso kuchepetsa thupi kwambiri kungathandize kuchepetsa kukana kwa insulin. Lankhulani ndi dokotala wanu za zomwe mungachite kuti muthane ndi vutoli bwino.

Kodi zakudya zimakhudza bwanji kukana kwa insulin?

Zakudya zomwe mumadya zimakhudza kwambiri shuga m'magazi mwanu komanso kuchuluka kwa insulin m'magazi. Glycemic Index (GI) ndi muyeso wa momwe zakudya zomwe mumadya zimakwezera shuga m'magazi mwanu mwachangu.

Zakudya zokhala ndi GI yokwera nthawi zambiri zimakhala ndi chakudya chambiri komanso/kapena shuga. Mukadya, shuga m'magazi mwanu amakwera mofulumira, ndipo mumafunikira insulin yambiri kuti muchepetse shugayo. Chifukwa chake, muyenera kupewa kudya zakumwa zambiri zokhala ndi shuga (soda, zakumwa zoziziritsa kukhosi, zakumwa zopangidwa ndi zipatso) ndi zakudya monga:

• Mkate (mkate woyera)
• Mbatata
• Mitundu ya chimanga cha m'mawa
• Zakudya zokoma monga makeke ndi mabisiketi
• Zipatso zina monga mavwende ndi madeti (izi zili ndi shuga wambiri)

Mukadya zakudya zokhala ndi GI yotsika , shuga m'magazi mwanu amakwera pang'onopang'ono. Izi zikutanthauza kuti kapamba wanu safunika kugwira ntchito molimbika kuti apange insulin. Nthawi zambiri ndi bwino kuti anthu omwe ali ndi insulin adye zakudya zokhala ndi GI yotsika, monga:

• Nyemba monga nyemba, nandolo, ndi lentils
• Zipatso monga maapulo ndi zipatso
• Ndiwo zamasamba zopanda sitachi wambiri - zitsanzo: asparagus, kolifulawa, ndiwo zamasamba zobiriwira
• Mtedza
• Zakudya za mkaka, nsomba, nyama

Kumbukirani: Nthawi zonse lankhulani ndi dokotala wanu musanasinthe kwambiri zakudya zanu. Iye akhoza kukupatsani malangizo a zomwe mungachite.

Kodi ndi zinthu ziti zomwe zimayambitsa kukana insulini? (Zinthu Zoopsa)

Zinthu zina zomwe zimayambitsa matenda a majini ndi moyo wanu zingakulitse chiopsezo chanu chokhala ndi insulin yosagwira ntchito kapena matenda a shuga asanakwane. Zinthuzi zikuphatikizapo:

• Kunenepa kwambiri kapena kunenepa kwambiri , makamaka mafuta ochulukirapo ozungulira mimba.
• Zaka 45 kapena kuposerapo.
• Kukhala ndi wachibale wapafupi (makolo, abale ndi alongo) omwe ali ndi matenda a shuga.
• Kusachita masewera olimbitsa thupi.
• Kukhala ndi matenda monga kuthamanga kwa magazi ndi cholesterol yambiri.
• Kukhala ndi matenda a shuga panthawi ya mimba (matenda a shuga a m'mimba).
• Kukhala ndi matenda a mtima kapena sitiroko.
• Matenda ogona , mwachitsanzo, kusowa tulo.
• Kusuta fodya.

Komanso, chiopsezocho chingakhale chachikulu pang'ono ngati muli m'magulu a mafuko awa:

• Chakuda
• Anthu a ku Spain/Latino
• Wa ku Asia
• Kum'mawa kwa Middle East

Sitingathe kusintha zinthu zina zomwe zingakubweretsereni mavuto, monga mbiri ya banja lanu komanso zaka zanu. Komabe, mungayese kuchepetsa chiopsezo chanu chokhala ndi vutoli mwa kukhala ndi thupi labwino lomwe likuyenererani komanso kuchita masewera olimbitsa thupi nthawi zonse.

Kodi chiyembekezo cha munthu amene ali ndi vuto la insulin ndi chiyani?

Ngati muli ndi vutoli, funsani dokotala wanu zomwe mungayembekezere komanso momwe mungathanirane nalo bwino.

Maganizo anu amadalira zinthu zingapo:

• Chifukwa cha kukana kwa insulin
• Kuopsa kwa kukana insulini
• Kodi inu ndi dokotala wanu mumatha bwanji kuthana ndi vutoli?

Anthu ena akhoza kukhala ndi vuto lochepa la insulin, lomwe silingapitirire kukhala ndi matenda a shuga kapena matenda a shuga amtundu wachiwiri. Angakhalenso ndi vuto la insulin lomwe lingathetsedwe kapena kuthetsedwa ndi kusintha kwa moyo wawo.

Kodi ndi zovuta ziti zomwe zingachitike chifukwa cha kukana insulin?

Ngati vutoli silikuthandizidwa bwino, mavuto angabwere. Mavuto omwe angakhalepo ndi awa:

• Matenda a shuga amtundu wachiwiri
• Matenda a kagayidwe kachakudya
• Matenda a mtima

Si aliyense amene ali ndi vuto la insulin amene angakumane ndi mavuto. Ngati mwapezeka ndi vutoli, ndikofunika kuyesetsa kupewa mavutowa. Onetsetsani kuti mukuonana ndi dokotala nthawi zonse, ndikutsatira ndondomeko yanu ya chithandizo mosamala.

Kodi ndiyenera kupita liti kwa dokotala pankhani yokhudza kukana kwa insulin?

Ngati mwapezeka ndi vutoli, ndikofunikira kwambiri kukaonana ndi dokotala nthawi zonse. Iye akhoza kuwona ngati shuga m'magazi mwanu muli pamlingo wabwino komanso ngati chithandizo chanu chikugwira ntchito.

Ngati muli ndi zizindikiro za shuga wambiri m'magazi kapena matenda a shuga asanakwane, pitani kwa dokotala nthawi yomweyo. Iye akhoza kuchita mayeso osavuta kuti aone kuchuluka kwa shuga m'magazi mwanu.

Ngati wina m'banja mwanu ali ndi matenda a shuga kapena insulin resistance, lankhulani ndi dokotala wanu za chiopsezo chanu chotenga matendawa.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ngati mwapezeka ndi vutoli, zingakhale zothandiza kufunsa dokotala mafunso awa:

• Kodi chifukwa cha kukana kwanga insulin ndi chiyani?
• Kodi chiopsezo changa chotenga matenda a shuga a prediabetes kapena matenda a shuga a mtundu wa 2 ndi chotani?
• Kodi pali mankhwala aliwonse omwe ndingatenge?
• Kodi ndiyenera kuwona katswiri wa vutoli?

Pomaliza, zinthu zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, taona kuti kukana insulin ndi vuto lovuta pang'ono, ndipo lingakhudze thanzi lathu m'njira zambiri. Nthawi zambiri, silisonyeza zizindikiro zilizonse mpaka litasanduka prediabetes kapena mtundu wachiwiri wa matenda a shuga.

Choncho, chinthu chabwino kwambiri chomwe mungachite ndikuyesetsa kupewa vutoli, kapena kulithetsa ngati litachitika. Kuti muchite izi , khalani ndi kulemera koyenera, chita masewera olimbitsa thupi nthawi zonse, ndipo idyani zakudya zopatsa thanzi.

Komabe, nthawi zina sizingatheke kupewa kapena kuchiza zinthu zonse zomwe zimayambitsa vutoli. Ngati muli ndi mafunso okhudza chiopsezo chanu kapena za vutoli, onetsetsani kuti mwalankhula ndi dokotala wanu. Iwo alipo kuti akuthandizeni.

Kukana kwa insulin , matenda a shuga, matenda a shuga asanakwane, shuga m'magazi, kapamba, kunenepa kwambiri, kudya bwino, kuchita masewera olimbitsa thupi, mahomoni