Chiratidzo chenyevero chinyararire chechirwere cheshuga: Dzidza nezvekusagona insulin

Uri kutya izwi rekuti chirwere cheshuga here? Kana kuti wakamboudzwa nachiremba wako kuti une insulin resistance, wobva wavhiringidzika kuti chii? Usazvidya mwoyo. Nhasi, tichataura nezvechirwere ichi chinonzi insulin resistance nenzira iri nyore uye ine hushamwari. Zvakafanana nenyevero yakanyarara yatinopihwa nemuviri wedu chirwere cheshuga chisati chatanga.

Zvichitaurwa zviri nyore, chii chinonzi insulin resistance?

Funga nezvazvo, masero ari mumuviri wedu akafanana nedzimba diki. Dzimba idzi dzinoda simba kuti dzishande. Simba iroro rinobva mushuga inonzi glucose, iyo inogadzirwa kubva muchikafu chatinodya. Kuti glucose iyi iende kubva muropa ichienda mudzimba dzinonzi masero, inoda kiyi yekuvhura musuwo. Kiyi iyoyo ihormone inonzi insulin . Kiyi iyi ye insulin inogadzirwa nepancreas yedu.

Kana uchidya, glucose inopinda muropa. Panguva imwe chete, pancreas inoburitsa kiyi inonzi insulin muropa. Kana insulin ikavhura magonhi emasero, glucose inopinda mumasero uye inova simba.

Zvino tarisa zvinoitika kumunhu asingakwanise kushandisa insulin.

Masero ako haapindure zvakanaka kukiyi iyi ye insulin. Zvakafanana nekiyi yemusuwo ine ngura. Kiyi haizovhuri musuwo zvakanaka. Saka glucose, iyo isingakwanise kupinda mumasero, inotanga kuungana muropa.

Panguva iyi, uropi hunofunga kuti, "Aa, kune shuga yakawanda muropa, ndinoda makiyi akawanda." Saka pancreas inowana meseji ichiiudza kuti igadzire insulin yakawanda. Nekufamba kwenguva, pancreas inoneta, inogadzira insulin yakawanda, uye pakupedzisira mashandiro ayo anogona kudzikira. Ndipo panotanga kukwira huwandu hweshuga muropa.

Musiyano uripo pakati pekusakwanisa insulin, pre-diabetes, uye chirwere cheshuga

Kunyangwe izvi zvitatu zvakabatana, hazvina kufanana. Ngatizvitarisei kubva patafura.

Ndezvipi zviratidzo zvechirwere ichi?

Dambudziko guru pano nderekuti insulin inoramba kushandiswa mumuviri wako kwenguva refu . Unogona kuva nayo mumuviri wako kwemakore usingatombozvizivi. Nzira chete yekuziva chokwadi ndeyekuongororwa ropa.

Zvisinei, kune zvimwe zviratidzo zvekunze zvine chekuita nechirwere ichi. Tarisa uone kana uine izvi zvakare:

• Kutenderera kwechiuno kwakawedzera: Kutenderera kwechiuno kunopfuura masendimita makumi mana muvarume uye kupfuura masendimita makumi matatu nemashanu muvakadzi.
• Kukwira kweropa: Kukwira kweropa kwe130/80 mmHg kana kupfuura.
• Zvisina kujairika pakuongororwa kweropa:
• Kutsanya shuga yeropa inodarika 100 mg/dL.
• Mazinga e triglyceride ekutsanya anopfuura 150 mg/dL.
• Mazinga echolesterol akanaka (HDL cholesterol) ari pasi pe40 mg/dL muvarume uye ari pasi pe50 mg/dL muvakadzi.
• Kuchinja kweganda:
• Ganda repamutsipa nepamahapwa rinoita rima uye rakaita sejecha. Izvi zvinozivikanwa seAcanthosis Nigricans .
• Kuonekwa kwemamota madiki (mapepa eganda) anoita seanorembera paganda.

Ndezvipi zvikonzero zvekusada insulin mumuviri?

Zvakaoma kuziva chikonzero chimwe chete cheizvi, asi nyanzvi dzakaona zvinhu zvakawanda zvinowedzera njodzi.

• Kurema kwakanyanya: Kuunganidzwa kwemafuta, kunyanya munzvimbo yedumbu (mafuta emudumbu).
• Kusaita maekisesaizi uye mararamiro ekugara pasi: Kusaita maekisesaizi.
• Zvikafu zvine makabhohaidhiretsi akawanda: Kudya chingwa, mupunga, zvinotapira, uye zvinwiwa zvinotapira zvakanyanya.
• Nhoroondo yemhuri: Mumwe munhu mumhuri ane chirwere cheshuga.
• Zera: Njodzi inowedzera mushure memakore makumi mana nemashanu.
• Chirwere Cheshuga Chepamuviri: Vanaamai vanobatwa nechirwere cheshuga panguva yekuzvitakura vari panjodzi huru yekubatwa nechirwere ichi gare gare.
• Zvimwe zvirwere: Chirwere chechiropa chisina kunwa doro uye Polycystic Ovary Syndrome (PCOS).
• Kusvuta.
• Mimwe mishonga: Kushandisa mimwe mishonga kwenguva refu, yakaita semasteroid.
• Matambudziko ekurara: Mamiriro ezvinhu akadai sekushaya mweya panguva yekurara (sleep apnea).

Hukama huripo pakati pekusakwanisa insulin nePCOS

Pane hukama hwakasimba pakati pepolycystic ovary syndrome (PCOS), chirwere chinokanganisa vakadzi vazhinji, uye insulin resistance. Vakadzi vazhinji vane PCOS vane insulin resistance. Kubatana chaiko pakati pezviviri izvi kuchiri kuongororwa.

Unoona sei izvi, Chiremba?

Hapana bvunzo imwe chete chaiyo yekudzivirira insulin mumuviri. Chiremba wako achaongorora zvinhu zvakasiyana-siyana kuti aone kana chirwere chacho chiripo.

1. Kukubvunza mibvunzo: Kubvunza nezvenhoroondo yehutano hwemhuri yako uye mararamiro ako.

2. Kuongororwa kwemuviri: Huremu hwako, kureba, uye BMI zvichayerwa. Kumanikidzwa kweropa rako kuchayerwa.

3. Kuongororwa kweropa: Izvi ndizvo zvinonyanya kukosha.

• Kutsanya Glucose yePlasma (FPG): Kuongororwa ropa kunoitwa mushure mekutsanya kwemaawa masere.
• Kuongororwa kweGlucose neMuromo (OGTT): Kutanga, ropa rinotorwa nekutsanya, wobva wapiwa mvura ine shuga kuti inwe, uye ropa rinoongororwazve mushure memaawa maviri.
• Hemoglobin A1c (HbA1c): Izvi zvinopa pfungwa yehuwandu hweshuga yako yeropa mumwedzi miviri kusvika mitatu yapfuura.
• Lipid Panel: Inotarisa huwandu hwecholesterol netriglyceride muropa.

Zvinotevera zvinogona kukubatsira kuziva kana uine prediabetes :

• FPG: 100-125 mg/dL
• OGTT (mushure memaawa maviri): 140-199 mg/dL
• A1c: 5.7% - 6.4%

Tingadzora sei mamiriro ezvinhu aya?

Mashoko akanaka ndeekuti kuramba insulin mumuviri kunogona kugadziriswa! Chinhu chikuru pane izvi ndechekuchinja mararamiro. Zvinhu izvi zvine simba kupfuura mishonga.

1. Kurovedza muviri

Kana uchishanda, tsandanyama dzako dzinoda simba. Dzinova nyore kunzwa insulin uye dzinotanga kushandisa glucose iri muropa rako. Kunyangwe kurovedza muviri kuri nyore sekufamba nekukurumidza kwemaminitsi makumi matatu pazuva, mazuva mashanu pasvondo, kunogona kuita mutsauko mukuru.

2. Kuramba uine huremu hwakanaka

Kunyangwe kurasikirwa ne5% kusvika 7% yehuremu hwemuviri wako kunogona kuderedza zvakanyanya njodzi yako yekubatwa nechirwere cheshuga. Semuenzaniso, kana uchirema 100 kg, kurasikirwa ne5-7 kg inyaya huru. Bvunza chiremba wako kuti akupe mazano panyaya iyi.

3. Kuchinja kudya

Hapana kudya kwemashiripiti kwakanangana neizvi, asi zvakakosha kuziva zvimwe zvinhu.

• Zvekudya zvine fiber yakawanda: Zvekudya zvakaita sezviyo, nyemba, miriwo, nemichero zvinowedzera kunzwa kwekuguta uye zvinoderedza kumhanya kwemushonga weshuga muropa.
• Zvikafu zvine glycemic index yakaderera (GI): Zvichitaurwa zviri nyore, izvi zvikafu zvisingakwidzi shuga yeropa nekukurumidza mushure mekudya.
• Idyai kakawanda (Low-GI): Muriwo nemichero yakawanda, mupunga webrown, nyemba, nyemba, yogati.
• Idyai nguva nenguva (pakati-GI): Chingwa chezviyo, mabhanana, chibage.
• Deredza zvakanyanya sezvinobvira (High-GI): chingwa chichena, mupunga muchena, makeke, mabhisikiti, zvinwiwa zvinotapira, mbatatisi.

4. Zvimwe zvinhu zvakakosha

• Dzivisa kusvuta.
• Kudzora kushushikana.
• Wana hope dzakakwana (inenge maawa manomwe pazuva).

Ngatidzidzeiwo nezvemishonga: Hapana mushonga chaiwo wekudzivirira insulin. Zvisinei, kana uri panjodzi huru yekubatwa nechirwere cheshuga, chiremba wako anogona kukupa mushonga wakaita seMetformin . Asi chiremba chete ndiye anogona kusarudza.