Isibonakaliso esiyisixwayiso esithule sesifo sikashukela: Funda ngokumelana ne-insulin

Ingabe uyesaba kancane igama elithi isifo sikashukela? Noma ingabe udokotela wakho wake wakutshela ukuthi unokumelana ne-insulin, futhi udidekile ngokuthi kuyini? Ungakhathazeki. Namuhla, sizokhuluma ngalesi simo esibizwa ngokuthi ukumelana ne-insulin ngendlela elula kakhulu futhi enobungane. Kufana nesixwayiso esithule umzimba wethu osinikeza sona ngaphambi kokuba isifo sikashukela siqale.

Kalula nje, kuyini ukumelana ne-insulin?

Cabanga ngakho, amangqamuzana emzimbeni wethu afana nezindlu ezincane. Lezi zindlu zidinga amandla ukuze zisebenze. Lawo mandla avela kushukela obizwa ngokuthi i-glucose, owenziwe ngokudla esikudlayo. Ukuze le glucose isuke egazini iye ezindlini ezibizwa ngokuthi amaseli, idinga isihluthulelo sokuvula umnyango. Leso sihluthulelo yi-hormone ebizwa ngokuthi i-insulin . Lesi sihluthulelo se-insulin senziwa yi-pancreas yethu.

Uma udla, i-glucose ingena egazini. Ngesikhathi esifanayo, i-pancreas ikhipha ukhiye obizwa ngokuthi i-insulin egazini. Uma i-insulin ivula iminyango yamaseli, i-glucose ingena kumaseli bese iba amandla.

Manje bheka ukuthi kwenzekani kumuntu onesifo sokumelana ne-insulin.

Amaseli akho awasabeli kahle kulesi sihluthulelo se-insulin. Kufana nokukhiya komnyango okugqwalile. Isihluthulelo asiwuvuli kahle umnyango. Ngakho-ke i-glucose, engakwazi ukungena emaseli, iqala ukuqongelela egazini.

Kuleli qophelo, ubuchopho bucabanga ukuthi, "O, kunoshukela omningi egazini, ngidinga izihluthulelo ezengeziwe." Ngakho-ke i-pancreas ithola umyalezo othi ayikhiqize i-insulin eningi. Ngokuhamba kwesikhathi, i-pancreas iyakhathala, ikhiqize i-insulin eningi, futhi ekugcineni umsebenzi wayo ungancipha. Yilapho izinga likashukela egazini liqala khona ukukhuphuka.

Ukumelana ne-insulin akusona isifo sikashukela ngokwaso, kodwa kungenye yezindlela ezinkulu nezibaluleke kakhulu zokuyeka indlela eya kwisifo sikashukela.

Umehluko phakathi kokumelana ne-insulin, i-pre-diabetes, kanye nesifo sikashukela

Nakuba lezi zintathu zihlobene, azifani. Ake sikubheke etafuleni.

Ziyini izimpawu zalesi simo?

Inkinga enkulu lapha ukuthi ukumelana ne-insulin kuyisimo esithule . Ungaba nakho emzimbeni wakho iminyaka eminingi ngaphandle kokwazi. Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuhlolwa kwegazi.

Kodwa-ke, kunezimpawu zangaphandle ezihambisana nalesi simo. Hlola ukuze ubone ukuthi unazo yini lezi:

• Ukuphakama komjikelezo wesinqe: Ububanzi besinqe obungaphezu kwamasentimitha angu-40 kwabesilisa kanye nobubanzi obungaphezu kwamasentimitha angu-35 kwabesifazane.
• Umfutho wegazi ophezulu: Umfutho wegazi ongu-130/80 mmHg noma ngaphezulu.
• Ukungahambi kahle ekuhlolweni kwegazi:
• Izinga likashukela egazini lokuzila ukudla elingaphezu kuka-100 mg/dL.
• Amazinga e-triglyceride okuzila ukudla angaphezu kuka-150 mg/dL.
• Amazinga e-cholesterol enhle (i-HDL cholesterol) angaphansi kuka-40 mg/dL kwabesilisa nangaphansi kuka-50 mg/dL kwabesifazane.
• Izinguquko zesikhumba:
• Isikhumba entanyeni nasemakhwapheni siba mnyama futhi sibe bushelelezi. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-Acanthosis Nigricans .
• Ukuvela kwama-moles amancane (amathegi esikhumba) abonakala sengathi alenga esikhumbeni.

Yiziphi izinkinga zokumelana ne-insulin?

Kunzima ukukhomba imbangela eyodwa yalokhu, kodwa ochwepheshe bathole izici eziningana ezandisa ingozi.

• Isisindo somzimba esiningi: Ukuqongelela kwamafutha, ikakhulukazi endaweni yesisu (amafutha esiswini).
• Ukuntuleka kokuzilolonga kanye nendlela yokuphila yokuhlala phansi: Ukungawuvivinyi umzimba.
• Ukudla okunama-carbohydrate amaningi: Ukudla isinkwa, ilayisi, ukudla okunoshukela ngokweqile, kanye neziphuzo ezinoshukela.
• Umlando womndeni: Kunomuntu emndenini onesifo sikashukela.
• Ubudala: Ingozi iyanda ngemva kweminyaka engu-45.
• Isifo Sikashukela Sokukhulelwa: Omama abanesifo sikashukela ngesikhathi sokukhulelwa basengozini enkulu yokuthola lesi simo kamuva.
• Ezinye izimo: Isifo sesibindi esinamafutha esingenalo utshwala kanye ne-Polycystic Ovary Syndrome (PCOS).
• Ukubhema.
• Imithi ethile: Ukusetshenziswa isikhathi eside kwemithi ethile, njenge-steroids.
• Izinkinga zokulala: Izimo ezifana nokuminyana ngesikhathi sokulala (sleep apnea).

Ubudlelwano phakathi kokumelana ne-insulin kanye ne-PCOS

Kukhona ukuxhumana okuqinile phakathi kwe-polycystic ovary syndrome (PCOS), isimo esithinta abesifazane abaningi, kanye nokumelana ne-insulin. Abesifazane abaningi abane-PCOS nabo banokumelana ne-insulin. Ukuxhumana okuqondile phakathi kwalokhu okubili kusacwaningwa.

Ukuthola kanjani lokhu, Dokotela?

Akukho ukuhlolwa okukodwa okuqondene ngqo nokumelana ne-insulin. Udokotela wakho uzobheka inhlanganisela yezici ukuze ahlole lesi simo.

1. Ukukubuza imibuzo: Ukubuza ngomlando wempilo yomndeni wakho kanye nendlela yakho yokuphila.

2. Ukuhlolwa komzimba: Isisindo sakho, ukuphakama, kanye ne-BMI kuzolinganiswa. Umfutho wegazi lakho uzolinganiswa.

3. Ukuhlolwa kwegazi: Lokhu kubaluleke kakhulu.

• Ukuzila ukudla i-Plasma Glucose (FPG): Ukuhlolwa kwegazi okwenziwa ngemva kokuzila ukudla okungenani amahora angu-8.
• Ukuhlolwa Kokubekezelela I-glucose Yomlomo (OGTT): Okokuqala, kuthathwa igazi elizila ukudla, bese kunikezwa uketshezi olunoshukela ukuze luphuzwe, bese igazi lihlolwa futhi ngemva kwamahora amabili.
• I-Hemoglobin A1c (HbA1c): Lokhu kunikeza umbono wamazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule.
• Iphaneli Ye-Lipid: Ihlola amazinga e-cholesterol kanye ne-triglyceride egazini.

Amanani alandelayo angakusiza ukuthi ubone ukuthi unesifo sikashukela esingaphambi kwesifo sikashukela :

• I-FPG: 100-125 mg/dL
• I-OGTT (ngemuva kwamahora ama-2): 140-199 mg/dL
• I-A1c: 5.7% - 6.4%

Silawula kanjani lesi simo?

Izindaba ezinhle ukuthi ukumelana ne-insulin kuvame ukuguqulwa! Isihluthulelo salokho ukwenza izinguquko endleleni yokuphila. Lezi zinto zinamandla kakhulu kunemithi.

1. Ukuzivocavoca

Uma usebenza, imisipha yakho idinga amandla. Iba nomuzwa okhudlwana ku-insulin bese iqala ukusebenzisa ushukela egazini lakho. Ngisho nokuzivocavoca okulula njengokuhamba ngokushesha imizuzu engama-30 ngosuku, okungenani izinsuku ezi-5 ngesonto, kungenza umehluko omkhulu.

2. Ukugcina isisindo esinempilo

Ngisho nokulahlekelwa isisindo somzimba wakho ngo-5% kuya ku-7% kunganciphisa kakhulu ingozi yakho yokuba nesifo sikashukela. Isibonelo, uma unesisindo esingu-100 kg, ukulahlekelwa isisindo esingu-5-7 kg kuyinto enkulu. Xhumana nodokotela wakho ukuze uthole iseluleko ngalokhu.

3. Ukushintsha ukudla

Akukho ukudla "okuwumlingo" okuqondile kwalokhu, kodwa kubalulekile ukuqaphela izinto ezithile.

• Ukudla okune-fiber ephezulu: Ukudla okufana nokusanhlamvu okuphelele, ubhontshisi, imifino, nezithelo kwandisa umuzwa wokugcwala futhi kwehlise ijubane lapho ushukela umuncwa egazini.
• Ukudla okunenkomba ye-glycemic ephansi (GI): Kalula nje, lokhu ukudla okungakhuphuki amazinga kashukela egazini ngokushesha ngemva kokudla.
• Yidla njalo (i-Low-GI): Imifino nezithelo eziningi, ilayisi elinsundu, ubhontshisi, ama-lentile, i-yogurt.
• Yidla ngezikhathi ezithile (i-GI ephakathi): Isinkwa esiphelele, ubhanana, ummbila.
• Nciphisa ngangokunokwenzeka (i-High-GI): isinkwa esimhlophe, ilayisi elimhlophe, amakhekhe, amabhisikidi, iziphuzo ezimnandi, amazambane.

Ukudla kwe-DASH kanye nokudla kwaseMedithera kuyizindlela ezimbili zokudla eziye zabonakala zisiza ekunciphiseni ukumelana ne-insulin. Khuluma nodokotela wakho ngalokhu futhi.

4. Ezinye izinto ezibalulekile

• Gwema ukubhema.
• Ukulawula ukucindezeleka.
• Lala ngokwanele (okungenani amahora angu-7 ngosuku).

Ake sifunde futhi ngemithi: Akukho muthi othize wokumelana ne-insulin. Kodwa-ke, uma usengozini enkulu yokuba nesifo sikashukela, udokotela wakho angakunikeza umuthi ofana ne -Metformin . Kodwa udokotela kuphela onganquma.