Ake sifunde ngokuhlolwa kwe-C-Peptide. Kungani lokhu kubalulekile kini eninesifo sikashukela?

Unesifo sikashukela? Noma ingabe udokotela wakho ukutshelile ukuthi uhlole okubizwa ngokuthi i-C-Peptide? Uma uzwa leli gama, ungase uzizwe wesaba futhi unelukuluku. "Kuyini lokhu kuhlolwa okusha? Kufunani?" Ungase ucabange. Kodwa ungakhathazeki nhlobo. Lokhu kuhlolwa okulula kakhulu okusinika ulwazi oluningi olubalulekile lokuphatha isifo sakho sikashukela. Namuhla, sizoxoxa ngalokhu kuhlolwa kwe-C-Peptide ngokuningiliziwe, ngendlela ongayiqonda kalula.

Kalula nje, iyini i-C-peptide?

Ukuze siqonde lokhu, ake sicabange ngakho ngale ndlela. Ama-pancreas emzimbeni wethu afana nefektri encane. Umkhiqizo oyinhloko wale fektri yi-hormone ebizwa ngokuthi i-insulin . I-insulin iyi-hormone ebaluleke kakhulu elawula inani likashukela (i-glucose) egazini lethu futhi isize amangqamuzana emizimba yethu ukuthi asebenzise lolo shukela njengamandla.

Manje, lapho i-pancreas ikhiqiza le insulin, ikhipha nengxenye encane enamathele kuyo. Leyo ngxenye yilokho esikubiza ngokuthi i-C-peptide . Ngokuqondile, i-molecule ye-insulin yakhiwa kusuka ku-molecule enkulu ebizwa ngokuthi 'i-proinsulin'. Lapho ingxenye ye-insulin ihlukaniswa nale futhi ikhishwa egazini, ingxenye esele ye-C-peptide nayo ikhishwa egazini.

Into ebalulekile ukuthi njalo uma i-molecule ye-insulin ikhishwa ku-pancreas, inani elilinganayo le-C-peptide nalo liyakhishwa. Lokho kusho ukuthi uma silinganisa inani le-C-peptide egazini lomuntu, singathola ukuthi ingakanani i-insulin ekhiqizwa umzimba wakhe, ama-pancreas akhe. Leli yinani elikhulu kakhulu lalolu vivinyo.

Kungani udokotela angakucela ukuthi wenze lolu vivinyo?

Kunezizathu eziningana zokuthi kungani udokotela wakho angase akuncome lokhu kuhlolwa. Kufana nobufakazi obubalulekile bomphenyi ophenya ngesifo.

• Nquma uhlobo lwesifo sikashukela onaso: Kunezinhlobo ezimbili eziyinhloko zesifo sikashukela, isifo sikashukela sohlobo 1 kanye nesifo sikashukela sohlobo 2. Lezi zinhlobo ezimbili zisebenza ngendlela ehlukile emzimbeni.
• Ku-Type 1 diabetes , amasosha omzimba abhubhisa amaseli akhiqiza i-insulin kuma-pancreas. Ngenxa yalokho, umzimba awukhiqizi i-insulini cishe. Ngakho-ke, uma ubheka izinga le-C-peptide lomuntu onjalo, lizoba liphansi kakhulu.Noma kungaba yi-zero.
• Kusifo sikashukela sohlobo 2 , yize i-pancreas ekuqaleni ikhiqiza i-insulin kahle, amangqamuzana omzimba awasabeli kahle kuleyo insulin (ukumelana ne-insulin). Bese, i-pancreas ikhiqiza i-insulin eningi ukuze ibuyisele ukuntuleka kwayo. Ngakho-ke, ezigabeni zokuqala zomuntu onesifo sikashukela sohlobo 2, amazinga e-C-peptide angaba ajwayelekile noma aphezulu .

• Linganisa impumelelo yokwelashwa: Uma uthatha imithi yesifo sikashukela, lokhu kuhlolwa kungahlola ukuthi i-pancreas yakho iyakhuthazwa yini yileyo mithi futhi ikhiqiza i-insulin ngendlela efanele.

• Nquma ukuthi kudingeka imijovo ye-insulini: Ikakhulukazi uma unesifo sikashukela sohlobo 2 isikhathi eside, i-pancreas yakho ingase ibe buthaka kancane kancane futhi iyeke ukukhiqiza i-insulini. Ngaleso sikhathi, amazinga akho e-C-peptide azokwehla kancane kancane. Yilapho udokotela wakho ezonquma khona ukuthi sekuyisikhathi sokuba uqale ukuthatha imijovo ye-insulini ungaphandle.

• Hlukanisa phakathi kwe-insulin ekhiqizwa ngumzimba kanye ne-insulin ejovwe: Leli iphuzu elibaluleke kakhulu. Ake sithi ungumuntu osebenzisa imijovo ye-insulin. Uma sibheka izinga le-insulin egazini lakho, libonisa kokubili i-insulin ekhiqizwa ngumzimba wakho kanye ne-insulin oyijovayo. Kodwa i-C-peptide ayinjalo. I-insulin yangaphandle ayinayo i-C-peptide. Ngakho-ke, ngokubheka izinga le-C-peptide, ungazi ngokunembile ukuthi umzimba wakho usakhiqiza i-insulin engakanani, ngisho noma uthatha imijovo.

• Thola imbangela yoshukela ophansi egazini (i-hypoglycemia): Abanye abantu banamazinga kashukela aphansi egazini ngendlela eyingozi. Lokhu kuhlola kusiza ekunqumeni ukuthi imbangela i-insulin eningi emzimbeni noma enye imbangela.

Indlela yokwenza isivivinyo nokulungiselela

Akudingeki wesabe ukwenza lolu vivinyo. Kuyinqubo elula kakhulu.

Ulwenza kanjani lolu vivinyo?

Ngokuvamile, lokhu kuhilela ukuthatha isampula yegazi . Njengokuhlolwa kwegazi okuvamile, umhlengikazi noma uchwepheshe welebhu uzothatha inani elincane legazi emthanjeni osengalweni yakho. Kuzozwakala njengokulunywa okuncane, njengokulunywa yintuthwane, yilokho kuphela.

Akuvamile kakhulu, lokhu kuhlolwa kungenziwa ngesampula yomchamo . Ezimweni ezinjalo, kuvame ukudingeka isampula yomchamo yamahora angama-24. Udokotela wakho noma ilabhorethri izokunikeza imiyalelo kanye nesitsha salokhu.

Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?

Yebo, ngezinye izikhathi kungadingeka ukulungiselela okuncane.

• Ukuzila Ukudla: Udokotela wakho angase akucele ukuthi ungadli noma uphuze amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa. Kodwa-ke, ukuphuza amanzi ngokuvamile akuvunyelwe.
• Ukuhlolwa kwangemva kokukhuthaza:Ngezinye izikhathi, udokotela wakho angase afune ukuthi udle okuthile (okuthile okunoshukela) bese uhlola amazinga akho e-C-peptide ngemva kokuba i-pancreas yakho isivuselelwe. Ngakho-ke landela njalo imiyalelo kadokotela wakho ngokucophelela.
• Imithi: Uma uthatha noma yimiphi imithi yezinye izimo, qiniseka ukuthi utshela udokotela wakho ngayo. Eminye imithi ingathinta imiphumela yalolu vivinyo, ngakho-ke ungase ucelwe ukuthi uyeke ukuyithatha okwesikhashana usuku noma ezimbili ngaphambi kokuhlolwa.

Azikho izingozi ezinkulu kulokhu kuhlolwa. Ungase ube nemihuzuko ethile lapho igazi likhishwa, kodwa lokhu kuzophela ngemva kwesikhashana.

Ithini imiphumela yokuhlolwa?

Ungakhathazeki ngezinombolo ezisembikweni wakho wokuhlolwa. Udokotela wakho kuphela ongachaza imiphumela ngokunembile, njengoba kudingeka iqhathaniswe nezinye izici, njengamazinga kashukela egazini lakho kanye nemithi oyiphuzayo.

Nazi ezinye zezinga elijwayelekile le-C-peptide. Kodwa khumbula ukuthi la manani angahluka kancane kuye ngelabhorethri ngayinye.

Uma izinga le-C-peptide liphansi (i-C-peptide ephansi)

Uma izinga lakho le-C-peptide lingaphansi kwesilinganiso esijwayelekile, kusho ukuthi i-pancreas yakho ikhiqiza i-insulin encane kakhulu noma ayikhiqizi nhlobo.

Ngaphezu kwalokho, ezinye izimo ezingabangela amazinga aphansi e-C-peptide zifaka:

• Isifo sikashukela sohlobo 2 esihlala isikhathi eside: Uma usuneminyaka eminingi unesifo sikashukela sohlobo 2, i-pancreas ingaphela futhi ukukhiqizwa kwe-insulin kungase kwehle.
• Isifo sika-Addison: Isimo lapho ukusebenza kwezindlala ze-adrenal kuphazamiseka khona.
• Isifo sesibindi.
• Ukuthatha imijovo ye-insulin: Ukuthatha i-insulin ngaphandle kungavimbela ukukhiqizwa kwe-insulin emzimbeni.

Uma izinga le-C-peptide liphezulu (i-C-peptide ephezulu)

Uma izinga lakho le-C-peptide liphakeme kunezinga elijwayelekile, kusho ukuthi i-pancreas yakho isebenza ngokweqile futhi ikhiqiza i-insulin eningi kakhulu.

Ngaphezu kwalokho, ezinye izimo ezingabangela amazinga aphezulu e-C-peptide zifaka:

• Ukumelana ne-insulin: Kungabonakala nakwabantu abangaphambi kwesifo sikashukela.
• I-Cushing syndrome: Isimo lapho umzimba ukhiqiza khona i-cortisol eningi kakhulu.
• Ukwehluleka kwezinso: Uma izinso zingakwazi ukususa i-C-peptide ngendlela efanele, amazinga ayo egazini ayanda.
• I-Insulinoma: Uhlobo olungavamile kakhulu lwesimila olukhiqiza i-insulin eningi.
• Ukwehla kwamazinga e-potassium egazini (i-Hypokalemia).

Kungakhathaliseki ukuthi imiphumela iba yini, udokotela wakho nguyena ozokunikeza incazelo enembile kakhulu kanye nezinyathelo ezilandelayo. Ngakho qiniseka ukuthi uthola umbiko futhi uyambona.