Muviri wako hausi kupindura zvakanaka ku insulin here? (Kuramba insulin) Ngatidzidzei nezvazvo zviri nyore!

Nhasi tichataura nezveshoko rinotaurwa nevanhu vazhinji, uye rinotyisawo zvishoma. Ndiro 'Kuramba Insulin'. Pamwe chiremba wako akakuudza nezvaro, kana kuti wakamboverenga nezvaro pane imwe nzvimbo. Chii chaizvo? Sei richikosha kudaro? Ngatinzwisisei zvese izvi zviri nyore.

Saka, chii chinonzi 'Insulin Resistance'?

Zvichitaurwa zviri nyore, kuramba insulin kunoitika kana masero ari mumuviri wako, kunyanya ari mutsandanyama dzako, masero emafuta, nechiropa, asingapindure zvakanaka ku insulin inogadzirwa nehomoni. Izvi zvinonziwo kusanzwa insulin zvakanaka.

Funga nezvazvo, insulin chikamu chakakosha chemuviri wedu. Yakafanana ne traffic controller mumuviri wedu. Ndiyo inotibatsira kutumira glucose, kana shuga yatinodya kubva muropa redu, mumasero edu kuti igadzire simba. Zvino, chii chinoitika kana masero asingateereri insulin iyi zvakanaka? Shuga iri muropa haigoni kupinda mumasero uye inoungana muropa.

Chii chinoitika ipapo? Chii chinoitika kune pancreas?

Ndipo panotanga dambudziko. Pancreas yedu - fekitari ye insulin yemuviri wedu - inoziva kuti, "Ah, shuga yeropa iri kukwira zvakanyanya, uye haisi kupinda mumasero." Saka pancreas inoita sei? Inotanga kugadzira insulin yakawanda kudzora huwandu hweshuga yakakwira. Zvakafanana nekusunda gonhi rakavhurika kana risingakwanise kuvhurika. Tinoti izvi hyperinsulinemia.

Kwenguva yakati, kana pancreas ikakwanisa kugadzira insulin yakawanda nenzira iyi uye kudzora huwandu hweshuga muropa, hapana dambudziko guru. Asi, zvishoma nezvishoma, sezvo masero anowedzera kuramba insulin, zvisinei nekuti pancreas inoburitsa insulin yakawanda sei, haikwani. Ndipo panotanga kuwanda shuga muropa nguva dzose. Tinodaidza izvi kuti 'hyperglycemia'.

Kusakwanisa kushandisa insulin uku kune njodzi here? Ndezvipi zvingangoitika?

Ehe, kana ukaramba uchiita izvi, zvinogona kuva nengozi zvishoma. Nekuti, kana huwandu hweshuga hwakakwira muropa hukaramba huripo kwenguva yakareba, unogona kutanga 'prediabetes'. Izvi zvinoreva kuti wava pedyo nekutanga chirwere cheshuga. Uye zvakare, une mukana mukuru wekuwana chirwere cheshuga cherudzi rwechipiri.

Kwete izvozvo chete, chirwere ichi chinobatanidzwa nezvimwe zvinetso zvehutano:

• Kufuta zvakanyanya , kunyanya mafuta akawandisa mudumbu.
• Zvirwere zvemwoyo , zvinoreva chirwere chemwoyo nematambudziko etsinga dzeropa.
• Chirwere chechiropa chinonzi steatotic liver disease chinokonzerwa nekutadza kushanda zvakanaka kwemuviri , chaimbozivikanwa sechirwere chechiropa chine mafuta asina doro.
• Chirwere chemetabolic.Ichi hachisi chirwere chimwe chete, asi muunganidzwa wezviratidzo zvinosangana. Semuenzaniso, zvinhu zvakaita seBP yakakwira, shuga yakakwira muropa, mafuta akawanda mudumbu, uye kusaenzana kwecholesterol.
• Polycystic Ovary Syndrome (PCOS). Uku kusawirirana kwemahormone kunoitika muvakadzi.

Ndiani ane mukana mukuru wekuva ne "insulin resistance"?

Zvinogona kuitika kune chero munhu. Haufanire kunge uine chirwere cheshuga. Dzimwe nguva zvinogona kuitika kwenguva pfupi. Semuenzaniso, kana ukatora mishonga yesteroid kwenguva yakati rebei nekuda kwechirwere, unogona kuva ne insulin resistance. Zvinogonawo kuva chirwere chisingaperi, zvichireva kuti chirwere chinogara kwenguva refu.

Pane zvinhu zviviri zvikuru zvinofungidzirwa kuti zvinopesvedzera izvi:

1. Mafuta akawandisa mumuviri , kunyanya pedyo nedumbu rako.

2. Kusaita maekisesaizi , zvinoreva kusaita maekisesaizi.

Uyewo, kana mumwe munhu mumhuri yako aine chirwere cheshuga (kunyanya chirwere cheshuga cherudzi rwechipiri), prediabetes, kana zvirwere zvakaita se polycystic ovary syndrome (PCOS), unogona kunge uri panjodzi huru yekuva ne insulin resistance.

Kusakwanisa insulin mumuviri kunowanzoitika kuvanhu vane prediabetes uye chirwere cheshuga cherudzi rwechipiri. Vanhu vane chirwere cheshuga cherudzi rwekutanga vanogonawo kuva ne insulin inodzivirira muviri.

Ndezvipi zviratidzo zveizvi? Tinozviziva sei?

Heino dambudziko. Kazhinji, kana pancreas yako ichigona kugadzira insulin yakawanda uye kudzora huwandu hweshuga muropa rako, ungasava nezviratidzo. Ungasatombozviziva.

Zvisinei, nekufamba kwenguva, chirwere ichi chinogona kuramba chichiipa. Masero ari mupancreas anogadzira insulin anotangawo kupera simba zvishoma nezvishoma. Pakupedzisira, pancreas haichakwanisi kugadzira insulin yakakwana. Ndipo panotanga kuwedzera huwandu hweshuga muropa uye zviratidzo zvinotanga kuoneka.

Kana huwandu hweshuga muropa rako hukaramba hwakakwira, unogona kuona zviratidzo zvakaita se:

• Kuderedza uremu pasina chikonzero
• Kunzwa kuneta nguva dzese
• Kunzwa nyota kupfuura nguva dzose
• Kuita weti kakawanda
• Kunzwa nzara kupfuura zvakajairika
• Kuona kusina kujeka
• Kurwara kwembiriso kakawanda (kunyanya munhengo yemukadzi uye dzimwe nguva mumapepa eganda kuvakadzi)

Vanhu vazhinji vane prediabetes havana zviratidzo, dzimwe nguva kwemakore. Prediabetes vanogona kusaratidza zviratidzo kusvika vasvika pakuva chirwere cheshuga cherudzi rwechipiri. Zvisinei, vamwe vanhu vane prediabetes vanogona kuratidza zviratidzo zvakaita se:

• Kusviba kwehapwa dzako, kumashure kwemutsipa wako, uye kumativi emuviri wako . Izvi zvinonzi acanthosis nigricans . Zvinoita sevhu, asi hazvisi tsvina.
• Mapundu madiki eganda .
• Kuchinja kwemaziso . Izvi zvinogona kukonzera kukuvara kwemaziso kunokonzerwa nechirwere cheshuga (diabetes-related retinopathy).

Zvakakosha: Kana uine chimwe chezviratidzo izvi kana kupfuura, iva nechokwadi chekuona chiremba wako. Zvakakosha zvikuru.

Sei tichiva ne "insulin resistance"? Ndezvipi zvinokonzera?

Masayendisiti achiri kushanda kuti aone kuti izvi zvinoitika sei chaizvo. Pari zvino zvinozivikanwa kuti mamwe majini anogona kuita kuti munhu asanyanya kurwara ne insulin. Vanachiremba vanozivawo kuti chirwere ichi chinowedzera kuipa kana munhu akawedzera uremu, uye kuti kuderedza uremu kunogona kubatsira kudzora muviri wake kusvika pamwero wakati.

Kunze kweizvozvo, kune zvimwe zvikonzero zvakawanda.

Zvikonzero zvakawanikwa

Izvi hazvisi zvikonzero zvatinozvarwa nazvo, asi zvikonzero zvinomuka muhupenyu hwedu.

• Mafuta akawandisa mumuviri: Masayendisiti anotenda kuti kufuta ndicho chikonzero chikuru chekusada insulin. Mafuta akaiswa mudumbu uye akakomberedza nhengo dzemukati (visceral fat) anowedzera njodzi zvakanyanya.
• Kusaita maekisesaizi: Paunoita maekisesaizi, muviri wako unonzwa insulin zvakanyanya. Maekisesaizi anobatsirawo tsandanyama dzako kutora shuga kubva muropa rako, izvo zvinogona kukonzera chirwere ichi.
• Kudya: Kudya chikafu chakabikwa zvakanyanya, chikafu chine makabhohaidhiretsi akawanda, uye chikafu chine mafuta akawanda zvakawanikwa kuti zvine chekuita nekuramba insulin.
• Mimwe mishonga: Mimwe mishonga, yakaita semasteroid, mimwe mishonga yeBP, uye mishonga inoshandiswa kurapa HIV, inogonawo kukonzera kusawirirana ne insulin mumuviri.

Zvirwere zvemahormone zvinokonzera kusawirirana kwe insulin

Mamwe matambudziko emahormone anogonawo kukanganisa mashandisiro anoita muviri insulin.

• Chirwere cheCushing: Ichi chirwere chisingawanzoitiki. Chinoitika kana muviri uine hormone inonzi cortisol yakawandisa. Cortisol yakawandisa inokanganisa mashandiro e insulin.
• Acromegaly: Ichi chirwere chisingawanzoitiki asi chakakomba. Chinoitika kana muviri uine hormone yekukura (GH) yakawandisa. Izvi zvinogonawo kukonzera kusawirirana ne insulin.
• Hypothyroidism: Izvi zvinoreva kuti gland rako re thyroid harisi kushanda zvakanaka, zvichireva kuti harisi kugadzira mahormone e thyroid akakwana. Izvi zvinononotsa metabolism yako, izvo zvinogonawo kukonzera kusawirirana ne insulin.

Zvirwere zvemajini zvinokonzera kusawirirana kwe insulin

Kune zvimwe zvirwere zvemajini zvinogarwa nhaka uye zvinogona kukonzerawo kusada insulin. Izvi hazviwanzoitiki. Mienzaniso inosanganisira zvirwere zvinonzi Type A insulin resistance syndrome uye Donohue syndrome.

Uye mamwe mamiriro ezvinhu akawanda ezvemajini:

• Myotonic dystrophy: Uku kushaya simba kwetsandanyama kunokanganisa tsandanyama, maziso, uye nhengo dze endocrine system.
• Alström syndrome: Chirwere ichi chinokonzera kufuta uye chirwere cheshuga cherudzi rwechipiri. Chinogonawo kukonzera kurasikirwa nekuona nekunzwa, dilated cardiomyopathy, uye kufema kushoma.
• Werner syndrome: Izvi zvinokonzera kukwegura nekukurumidza (progeria). Zvinokanganisa zvinhu zvakawanda mumuviri, kusanganisira insulin resistance.
• Lipodystrophy inoberekwa nhaka: Mumamiriro ezvinhu aya, muviri wako haushandisi kana kuchengeta mafuta zvakanaka.

Vanachiremba vanoongorora sei izvi?

Kusakwanisa kuita insulin mumuviri kwakaoma kuiongorora nemazvo, sezvo pasina bvunzo chaiyo uye yakajairika. Sezvambotaurwa, kana pancreas yako ikakwanisa kugadzira insulin yakakwana kudzora chirwere ichi, hauzovi nezviratidzo.

Zvisinei, kana chiremba wako achifungidzira kuti une chirwere ichi, achafunga nezvezvinhu zvakati wandei:

• Nhoroondo yako yezvekurapa (senge zvirwere zvekare nemishonga yaunotora)
• Nhoroondo yehutano hwemhuri yako (pane mumwe munhu mumhuri yako ane chirwere cheshuga kana chirwere chemwoyo here?)
• Kuongororwa kwemuviri
• Zviratidzo zvaunotsanangura

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Chiremba anogona kuita bvunzo dzeropa dzakawanda, dzakadai se:

• Kuongororwa kweglucose: Kuongororwa kweglucose yeplasma yekutsanya (FPG) kana kuongororwa kweshuga yeropa nguva dzose kunogona kubatsira kuona kana uine prediabetes, chirwere cheshuga cherudzi rwechipiri, kana chirwere cheshuga chepamuviri.
• Kuongororwa kweA1c: Izvi zvinogona kukuudza kuti shuga yako yeropa yave yakaita sei mumwedzi mitatu yapfuura.
• Mafuta ari muropa: Izvi zvinoyera mhando dzakasiyana dzemafuta (akadai secholesterol netriglycerides) muropa rako.

Saka, unoibata sei iyi? (Kurapwa)

Hazvisi zvese zvinokonzera kusada insulin zvinogona kurapwa, zvakaita semajini uye zera. Saka, mushonga mukuru ndewekuchinja mararamiro.

Shanduko idzi dzemararamiro ndedzinotevera:

• Idya chikafu chine hutano: Chiremba wako anogona kukuudza kuti uderedze kudya makabhohaidhiretsi nemafuta asina kunaka. Izvi zvinoreva kuti uderedze kudya shuga, nyama tsvuku, uye chikafu chine starch. Pane kudaro, vanogona kukuudza kuti udye miriwo yakawanda, michero, nyemba, uye zviyo zvakakwana. Kune mapuroteni, hove nehuku sarudzo dzakanaka.
• Kurovedza muviri: Kuita maekisesaizi ane mwero zuva nezuva kunobatsira zvikuru.Izvi zvinowedzera kushandiswa kweglucose muropa kuti iwane simba, uye zvinowedzerawo kunzwa kwe insulin mutsandanyama.
• Kuderedza huremu hwakawandisa: Mune zvimwe zviitiko, kuderedza huremu kunogona kubatsira kuderedza insulin resistance. Chiremba wako anogona kutaura newe nezvenzira dzekukubatsira kuderedza huremu.

Nekufamba kwenguva, shanduko idzi dzemararamiro dzinogona kutungamira kumhedzisiro yakaita seiyi:

• Kuderera kwekusakwanisa kwe insulin
• Kuderera kwemazinga eshuga muropa
• Kuderera kweropa
• Kuderera kwe triglyceride neLDL (cholesterol yakaipa) mazinga
• Kuwedzera kweHDL (cholesterol yakanaka)

Chiremba wako anogonawo kukutumira kuna nyanzvi, senge nyanzvi yezvekudya kana endocrinologist. Vachashanda newe kugadzira hurongwa hwekurapa hwakakunakira.

Pane mushonga chaiwo weizvi here?

Parizvino, hapana mushonga chaiwo wekusada insulin. Zvisinei, chiremba wako anogona kukupa mushonga wemamwe matambudziko ehutano aunogona kunge unawo. Mimwe mienzaniso inosanganisira:

• Mushonga weBP yakakwira
• Mishonga yakaita seMetformin yekurapa chirwere cheshuga kana prediabetes
• Mishonga yakaita se statins yekuderedza cholesterol yeLDL

Kusakwanisa kwe insulin kunogona kudzoserwa here? (Kugona kuchinja)

Sezvo paine zvinhu zvakawanda zvinokonzera izvi, hazvisi zvese zvinogona kugadziriswa. Zvisinei, kuchinja mararamiro kunogona kuita mutsauko mukuru. Kudya chikafu chinovaka muviri, kurovedza muviri nguva dzose, uye kuderedza huremu hwakawandisa kunogona kubatsira kuderedza insulin resistance yako. Taura nachiremba wako nezvezvaungaita kuti uzvigadzirise zvakanaka.

Kudya kunokanganisa sei kuramba insulin?

Chikafu chaunodya chine simba guru pahuwandu hweshuga muropa rako uye huwandu hweinsulin mumuviri wako. Glycemic Index (GI) inoyera kuti chikafu chaunodya chinokurumidza sei kuwedzera huwandu hweshuga muropa rako.

Zvikafu zvine GI yakakwira zvinowanzova nemakabhohaidhiretsi akawanda uye/kana shuga. Paunozvidya, huwandu hweshuga muropa rako hunokwira nekukurumidza, uye unoda insulin yakawanda kuti uzvideredze zvakare. Saka, unofanirwa kudzivisa kudya zvinwiwa zvakawanda zvine shuga (soda, zvinwiwa zvisina kupfava, zvinwiwa zvemichero yekugadzira) uye zvekudya zvakaita se:

• Chingwa (chingwa chichena)
• Mbatatisi
• Mhando dzezviyo zvekudya kwemangwanani
• Zvikafu zvinotapira zvakaita semakeke nemabhisikiti
• Mimwe michero yakaita sewatermelon nedates (izvi zvine shuga yakawanda)

Kana uchidya chikafu chine GI yakaderera , huwandu hweshuga muropa rako hunokwira zvishoma nezvishoma. Izvi zvinoreva kuti pancreas yako haifanirwe kushanda nesimba kuti igadzire insulin. Kazhinji zviri nani kuti vanhu vane insulin inodzivirira vadye chikafu chine GI yakaderera, zvakaita se:

• Nyemba dzakadai sebhinzi, nyemba, nenyemba
• Michero yakaita semaapuro nemabheri
• Muriwo usina starch yakawanda - mienzaniso: asparagus, cauliflower, miriwo yemashizha matema
• nzungu
• Zvikafu zvemukaka, hove, nyama

Yeuka: Gara uchitaura nachiremba wako usati waita chero shanduko huru pakudya kwako. Iye/iye anogona kukupa mazano ezvakanakira iwe.

Ndezvipi zvinhu zvinokonzera kuti munhu asarambe insulin? (Zvinhu Zvinokonzera Njodzi)

Zvimwe zvinhu zvinokonzera njodzi mumajini uye mararamiro zvinogona kuwedzera njodzi yako yekusada insulin kana prediabetes. Izvi zvinhu zvinokonzera njodzi zvinosanganisira:

• Kufuta zvakanyanya kana kufutisa , kunyanya mafuta akawandisa ari mudumbu.
• Makore makumi mana nemashanu zvichikwira.
• Kuva nehama yepedyo (vabereki, vanun'una kana hanzvadzi) vane chirwere cheshuga.
• Kusaita maekisesaizi.
• Kuva nematambudziko ehutano akadai seBP yakakwira uye cholesterol yakakwira.
• Kuva nechirwere cheshuga panguva yekuzvitakura (gestational diabetes).
• Kuve nechirwere chemwoyo kana sitiroko.
• Matambudziko ekurara , semuenzaniso, sleep apnea.
• Kusvuta.

Uyewo, njodzi inogona kunge yakakwira zvishoma kana uri wemapoka aya emadzinza:

• Nhema
• Vanhu vechiHispanic/vechiLatin
• wekuAsia
• Kumabvazuva kweMiddle East

Hatigoni kuchinja zvimwe zvinhu zvine njodzi, zvakaita senhoroondo yemhuri nezera. Zvisinei, unogona kuedza kuderedza njodzi yako yekubatwa nechirwere ichi nekuchengetedza huremu hwakanaka hunokunakira uye kurovedza muviri nguva dzose.

Ndeipi tarisiro yemunhu ane insulin inodzivirira chirwere ichi?

Kana uine chirwere ichi, bvunza chiremba wako zvaunotarisira uye kuti ungachigadzirisa sei.

Maonero ako anoenderana nezvinhu zvakati wandei:

• Chikonzero chekusawirirana kwe insulin
• Kuoma kwekusakwanisa insulin
• Kuti iwe nachiremba wako munogona sei kubata chirwere ichi

Vamwe vanhu vanogona kunge vaine insulin resistance iri nyore, iyo isingazombofi yakasvika pakuva prediabetes kana type 2 diabetes. Vanogonawo kunge vaine insulin resistance iyo inogona kugadziriswa kana kugadziriswa nekuchinja mararamiro.

Ndezvipi zvinetso zvinogona kuitika nekuda kwekusakwanisa kwe insulin mumuviri?

Kana chirwere ichi chikasatarisirwa zvakanaka, matambudziko anogona kuitika. Matambudziko anogona kuitika anosanganisira:

• Chirwere cheshuga cherudzi rwechipiri
• Chirwere cheMetabolic
• Chirwere chemwoyo

Havasi vese vane insulin inodzivirira chirwere vachava nematambudziko. Kana wakamboonekwa uine chirwere ichi, zvakakosha kuedza kudzivirira matambudziko aya. Iva nechokwadi chekuona chiremba wako nguva dzose, uye tevera hurongwa hwako hwekurapa nokungwarira.

Ndinofanira kuona chiremba rini nezve insulin inoramba kushandiswa?

Kana wakamboonekwa uine chirwere ichi, zvakakosha kuti ugare uchiona chiremba wako. Iye anogona kuona kuti shuga yako yeropa iri padanho rakanaka uye kuti kurapwa kwako kuri kushanda here.

Kana uine zviratidzo zveshuga yakakwira muropa kana kuti prediabetes, enda kuna chiremba wako nekukasika. Iye anogona kuita bvunzo dziri nyore kuti aone huwandu hweshuga muropa rako.

Kana mumwe munhu mumhuri mako aine chirwere cheshuga kana kuti insulin inoramba kushandiswa, taura nachiremba wako nezvenjodzi yako yekubatwa nechirwere ichi.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Kana ukaonekwa uine chirwere ichi, zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Chii chinokonzera kusakwanisa kwangu insulin?
• Ndeipi njodzi yangu yekubatwa nechirwere cheshuga chisati chatanga kana chirwere cheshuga cherudzi rwechipiri?
• Pane mushonga wandingatora here?
• Ndinofanira kuona nyanzvi yechirwere ichi here?

Chekupedzisira, zvinhu zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Saka, taona kuti kuramba insulin mumuviri idambudziko rakaoma, uye rinogona kukanganisa hutano hwedu nenzira dzakawanda. Kazhinji, hariratidzi zviratidzo kusvika rava prediabetes kana type 2 diabetes.

Saka, chinhu chakanakisa chaungaita kuedza kudzivirira chirwere ichi, kana kuti kuchichinja kana chikaitika. Kuti uite izvi , ramba uine huremu hwakanaka hunokunakira, kurovedza muviri nguva dzose, uye idya chikafu chinovaka muviri.

Zvisinei, dzimwe nguva hazvigoneki kudzivirira kana kurapa zvinhu zvese zvinokonzera chirwere ichi. Kana uine mibvunzo nezvenjodzi yako kana nezvechirwere ichi, iva nechokwadi chekutaura nachiremba wako. Varipo kuti vakubatsire.

Kusakwanisa insulin, chirwere cheshuga, prediabetes, shuga muropa, pancreas, kufuta , kudya zvine hutano, kurovedza muviri, mahormone