Ingabe umzimba wakho awusabeli kahle ku-insulin? (Ukumelana ne-insulin) Ake sifunde ngakho kalula!

Namuhla sizokhuluma ngegama elikhulunywa ngabantu abaningi, futhi liyesabeka kancane. Lelo 'Ukumelana ne-Insulin'. Mhlawumbe udokotela wakho ukutshelile ngalo, noma uke wafunda ngalo ndawana thize. Liyini ngempela? Kungani libaluleke kangaka? Ake sikuqonde konke lokhu kalula.

Ngakho-ke, kuyini 'ukumelana ne-insulin'?

Kalula nje, ukumelana ne-insulin kwenzeka lapho amangqamuzana emzimbeni wakho, ikakhulukazi lawo asemisipheni yakho, amangqamuzana amafutha, kanye nesibindi, engaphenduli kahle ku-hormone i-insulin. Lokhu kubizwa nangokuthi ukuzwela kwe-insulin okuphazamisekile.

Cabanga ngakho, i-insulini iyingxenye ebalulekile yomzimba wethu. Ifana nomlawuli wethrafikhi emzimbeni wethu. Yiyona esisiza ukuthumela i-glucose, noma ushukela esiwudla egazini lethu, emaselini ethu ukuze senze amandla. Manje, kwenzekani uma amaseli engalaleli le insulin kahle? Ushukela osegazini awukwazi ukungena emaselini bese uqoqana egazini.

Kwenzekani-ke? Kwenzekani kumanyikwe?

Yilapho inkinga iqala khona. Ama-pancreas ethu – ifektri ye-insulin yomzimba wethu – ayaqaphela ukuthi, “O, ushukela wegazi uyaphakama kakhulu, futhi awungeni emaseli.” Ngakho-ke enzani ama-pancreas? Aqala ukwenza i-insulin eningi ukulawula amazinga aphezulu kashukela. Kufana nokucindezela umnyango uvuleke lapho ungavuleki. Lokhu sikubiza ngokuthi i-hyperinsulinemia.

Okwesikhashana, uma i-pancreas ingakhiqiza i-insulin eningi ngale ndlela futhi ilawule amazinga kashukela egazini, akukho nkinga enkulu. Kodwa, kancane kancane, njengoba amaseli eba namandla okumelana ne-insulin, kungakhathaliseki ukuthi i-pancreas ikhiqiza i-insulin engakanani, ayanele. Yilapho amazinga kashukela egazini eqala khona ukuba phezulu njalo. Lokhu sikubiza ngokuthi 'i-hyperglycemia'.

Ingabe lokhu 'ukumelana ne-insulin' kuyingozi? Yimiphi imiphumela engaba khona?

Yebo, uma uqhubeka nalokhu, kungaba yingozi kancane. Ngoba, uma la mazinga aphezulu kashukela egazini eqhubeka isikhathi eside, ungaba 'ne-prediabetes'. Lokho kusho ukuthi useduze nokuthola isifo sikashukela. Bese kuthi-ke, ube namathuba amaningi okuthola isifo sikashukela sohlobo lwesibili.

Akukhona lokho kuphela, lesi simo sihlotshaniswa nezinye izinkinga eziningana zempilo:

• Ukukhuluphala ngokweqile , ikakhulukazi amafutha amaningi esiswini.
• Isifo senhliziyo , okusho isifo senhliziyo nezinkinga zemithambo yegazi.
• Isifo sesibindi se-steatotic esihambisana nokungasebenzi kahle kwe-metabolic , esaziwa ngaphambili ngokuthi isifo sesibindi esinamafutha angewona utshwala.
• Isifo se-Metabolic.Lesi akusona isifo esisodwa, kodwa yiqoqo lezimpawu ezihlanganayo. Isibonelo, izinto ezifana nomfutho wegazi ophakeme, ushukela wegazi ophakeme, amafutha esiswini aphezulu, kanye nokungalingani kwe-cholesterol.
• I-Polycystic Ovary Syndrome (PCOS). Lokhu ukungalingani kwama-hormone okwenzeka kwabesifazane.

Ubani onamathuba amaningi okuthuthukisa 'ukumelana ne-insulin'?

Kungenzeka kunoma ubani ngempela. Akudingeki ube nesifo sikashukela. Ngezinye izikhathi kungaba okwesikhashana. Isibonelo, uma uthatha ama-steroid isikhashana ngenxa yokugula, ungaba nokumelana ne-insulin. Kungaba futhi okungamahlalakhona, okusho ukuthi kuyisimo sesikhathi eside.

Kunezici ezimbili eziyinhloko okucatshangwa ukuthi zithonya lokhu:

1. Amafutha amaningi emzimbeni , ikakhulukazi eduze kwesisu sakho.

2. Ukuntuleka kokuzilolonga ngokomzimba , okusho ukungazivivinyi.

Futhi, uma othile emndenini wakho enesifo sikashukela (ikakhulukazi isifo sikashukela sohlobo 2), isifo sikashukela esingakafiki ezingeni le-prediabetes, noma izimo ezifana ne-polycystic ovary syndrome (PCOS), ungase futhi ube sengozini enkulu yokuthuthukisa ukumelana ne-insulin.

Ukumelana ne-insulin kuvamile kubantu abanesifo sikashukela sangaphambi kwesifo sikashukela kanye nesifo sikashukela sohlobo 2. Abantu abanesifo sikashukela sohlobo 1 nabo bangaba nokumelana ne-insulin ngezinye izikhathi.

Ziyini izimpawu zalokhu? Sazi kanjani?

Nansi inkinga. Esikhathini esiningi, uma i-pancreas yakho ingenza i-insulin eningi futhi ilawule amazinga kashukela egazini lakho, ungase ungabi nazimpawu. Ungase ungazi ngisho nokuthi uyazazi.

Kodwa-ke, ngokuhamba kwesikhathi, lesi simo singaba sibi kakhulu. Amaseli e-pancreas enza i-insulin nawo aqala ukuba buthaka kancane kancane. Ekugcineni, i-pancreas ayikwazi ukukhiqiza i-insulin eyanele. Yilapho amazinga kashukela egazini eqala khona ukukhuphuka futhi izimpawu ziqala ukuvela.

Uma amazinga kashukela egazini lakho ehlala ephezulu, ungase ube nezimpawu ezifana nalezi:

• Ukwehlisa isisindo ngaphandle kwesizathu
• Ukuzizwa ukhathele ngaso sonke isikhathi
• Ukuzizwa womile kakhulu kunokujwayelekile
• Ukuchama njalo
• Ukuzizwa ulambile kakhulu kunokujwayelekile
• Umbono ofiphele
• Ukutheleleka kwemvubelo okuvamile (ikakhulukazi esithweni sangasese sowesifazane futhi ngezinye izikhathi emagobolondweni esikhumba kwabesifazane)

Abantu abaningi abane-prediabetes abanazo izimpawu, ngezinye izikhathi iminyaka. I-prediabetes ingase ingabonakali izimpawu kuze kube yilapho iqhubekela phambili ibe yisifo sikashukela sohlobo 2. Kodwa-ke, abanye abantu abane-prediabetes bangase babonise izimpawu ezifana nalezi:

• Ukufiphala kwamakhwapha akho, ngemuva kwentamo yakho, kanye nezinhlangothi zomzimba wakho . Lokhu kubizwa ngokuthi i-acanthosis nigricans . Kubukeka njengothuli, kodwa akulona uthuli.
• Amaqhubu amancane esikhumba .
• Izinguquko emehlweni . Lokhu kungaholela ekulimaleni kwamehlo okuhlobene nesifo sikashukela (i-retinopathy ehlobene nesifo sikashukela).

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, qiniseka ukuthi ubona udokotela wakho. Kubaluleke kakhulu.

Kungani sithuthukisa 'ukumelana ne-insulin'? Ziyini izimbangela?

Ososayensi basasebenza ukuthola ukuthi lokhu kwenzeka kanjani ngempela. Okwamanje kuyaziwa ukuthi izakhi zofuzo ezithile zingenza umuntu abe namathuba amaningi noma amancane okuthola ukumelana ne-insulin. Odokotela bayazi nokuthi lesi simo siba sibi kakhulu ngokukhuluphala, nokuthi ukwehlisa isisindo kungasiza ekulawuleni lesi simo ngezinga elithile.

Ngaphandle kwalokho, kunezinye izizathu eziningana.

Izimbangela ezitholiwe

Lezi akuzona izizathu esizalwa nazo, kodwa izizathu ezivela ngesikhathi sokuphila.

• Amafutha amaningi emzimbeni: Ososayensi bakholelwa ukuthi ukukhuluphala yimbangela eyinhloko yokumelana ne-insulin. Amafutha abekwe esiswini nasezithweni zangaphakathi (amafutha e-visceral) andisa kakhulu ingozi.
• Ukungawuvivinyi umzimba: Uma uzivocavoca, umzimba wakho uba nomuzwa okhudlwana ku-insulin. Ukuzivocavoca kusiza nemisipha yakho ukuthi imunce ushukela egazini lakho, okungaholela kulesi simo.
• Ukudla: Ukudla ukudla okucutshungulwe kakhulu, ukudla okunama-carbohydrate amaningi, kanye nokudla okunamafutha amaningi agcwele kutholakale ukuthi kuhlotshaniswa nokumelana ne-insulin.
• Eminye imithi: Eminye imithi, njenge -steroids, eminye imithi yokucindezeleka kwegazi okuphezulu, kanye nemithi esetshenziswa ukwelapha i-HIV, ingabangela nokumelana ne-insulin.

Izinkinga ze-Hormonal ezibangela ukumelana ne-insulin

Ezinye izinkinga zamahomoni zingathinta nendlela umzimba osebenzisa ngayo i-insulin.

• I-Cushing's syndrome: Lesi yisimo esingavamile. Senzeka uma kune-hormone eningi kakhulu ebizwa ngokuthi i-cortisol emzimbeni. I-cortisol eningi iphazamisa ukusebenza kwe-insulin.
• I-Acromegaly: Lesi futhi yisimo esingavamile kakhulu kodwa esibucayi. Siyenzeka uma kune-hormone yokukhula (GH) eningi kakhulu emzimbeni. Lokhu kungaholela nasekumelaneni ne-insulin.
• I-Hypothyroidism: Lokhu kusho ukuthi i-thyroid gland yakho ayisebenzi kahle, okusho ukuthi ayikhiqizi ama-hormone e-thyroid anele. Lokhu kunciphisa ijubane lokugaya ukudla kwakho, okungabangela nokumelana ne-insulin.

Izimo zofuzo ezibangela ukumelana ne-insulin

Kunezifo ezithile zofuzo ezizuzwa njengefa futhi ezingabangela ukumelana ne-insulin. Lezi azivamile kakhulu. Izibonelo zifaka phakathi izimo ezibizwa ngokuthi i-Type A insulin resistance syndrome kanye ne-Donohue syndrome.

Nezinye izimo eziningana zofuzo:

• I-Myotonic dystrophy: Lolu uhlobo lobuthakathaka bemisipha oluthinta imisipha, amehlo, kanye nezitho zesistimu ye-endocrine.
• I-Alström syndrome: Lesi simo sibangela ukukhuluphala kanye nesifo sikashukela sohlobo 2. Singabangela nokulahlekelwa ukubona nokuzwa, i-cardiomyopathy evulekile, kanye nokuphelelwa umoya.
• I-Werner syndrome: Lokhu kubangela ukuguga okusheshayo (progeria). Kuthinta izinto eziningi emzimbeni, okuhlanganisa nokumelana ne-insulin.
• I-lipodystrophy ezuzwe njengefa: Kulesi simo, umzimba wakho awusebenzisi noma awugcini amafutha ngendlela efanele.

Odokotela bakuthola kanjani lokhu?

Ukumelana ne-insulin kunzima ukukuthola ngokunembile, njengoba kungekho ukuhlolwa okuqondile, okubanzi ngakho. Njengoba kushiwo ngaphambili, uma i-pancreas yakho ingakhiqiza i-insulin eyanele ukulawula lesi simo, ngeke ube nezimpawu.

Kodwa-ke, uma udokotela wakho esola lesi simo, uzocabangela izici eziningana:

• Umlando wakho wezokwelapha (njengezifo zangaphambilini kanye nemithi oyiphuzayo)
• Umlando wempilo yomndeni wakho (ingabe ukhona emndenini wakho onesifo sikashukela noma isifo senhliziyo?)
• Ukuhlolwa komzimba
• Izimpawu ozichazayo

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela angenza ukuhlolwa kwegazi okuningana, okufana nalokhu:

• Ukuhlolwa kwe-glucose: Ukuhlolwa kwe-glucose ye-plasma okusheshayo (i-FPG) noma ukuhlolwa kweshukela egazini okuvamile kungasiza ekunqumeni ukuthi unesifo sikashukela esingaphambi kwesifo sikashukela, isifo sikashukela sohlobo 2, noma isifo sikashukela sokukhulelwa.
• Ukuhlolwa kwe-A1c: Lokhu kungakutshela ukuthi amazinga kashukela egazini lakho abe njani ezinyangeni ezintathu ezedlule.
• Iphaneli ye-lipid: Lokhu kulinganisa izinhlobo ezahlukene zamafutha (njenge-cholesterol kanye ne-triglycerides) egazini lakho.

Ngakho-ke, uphatha kanjani lokhu? (Ukwelashwa)

Akuzona zonke izimbangela zokumelana ne-insulin ezingelashwa, njengezakhi zofuzo kanye nobudala. Ngakho-ke, ukwelashwa okuyinhloko ukwenza izinguquko endleleni yokuphila.

Lezi zinguquko zendlela yokuphila yilezi:

• Yidla ukudla okunomsoco: Udokotela wakho angakutshela ukuthi unciphise ama-carbohydrate namafutha angenampilo. Lokhu kusho ukunciphisa ushukela, inyama ebomvu, nokudla okunesitashi okucutshunguliwe. Esikhundleni salokho, angakutshela ukuthi udle imifino eminingi, izithelo, ubhontshisi, kanye nokusanhlamvu okuphelele. Kumaprotheni, inhlanzi nenkukhu kuyizinketho ezinhle.
• Umsebenzi womzimba: Ukuvivinya umzimba okulingene nsuku zonke kusiza kakhulu.Lokhu kwandisa ukusetshenziswa kwe-glucose egazini ukuze kutholakale amandla, futhi kwandisa nokuzwela kwe-insulin emisipheni.
• Ukwehlisa isisindo ngokweqile: Kwezinye izimo, ukunciphisa isisindo kungasiza ekubuyiseleni ukumelana ne-insulin. Udokotela wakho angakhuluma nawe ngezindlela zokusiza ukwehlisa isisindo.

Ngokuhamba kwesikhathi, lezi zinguquko zendlela yokuphila zingaholela emiphumeleni efana nale:

• Ukwehliswa kokumelana ne-insulin
• Amazinga kashukela egazini anciphile
• Umfutho wegazi ophansi
• Amazinga e-triglyceride anciphile kanye ne-LDL (i-cholesterol embi)
• Amazinga e-HDL akhuphukile (i-cholesterol enhle)

Udokotela wakho angakudlulisela kuchwepheshe, njengochwepheshe wezokudla noma i-endocrinologist. Bazosebenzisana nawe ukuthuthukisa uhlelo lokwelashwa olufanele wena.

Ingabe kukhona umuthi okhethekile walokhu?

Okwamanje, akukho ukwelashwa okuqondile kokumelana ne-insulin. Kodwa-ke, udokotela wakho angase akunikeze imithi yezinye izimo zempilo ongase ube nazo. Ezinye izibonelo zifaka:

• Umuthi womfutho wegazi ophakeme
• Imithi efana ne -Metformin yesifo sikashukela noma i-prediabetes
• Imithi efana nama-statins yokwehlisa i-cholesterol ye-LDL

Ingabe ukumelana ne-insulin kungabuyiselwa emuva? (Ukuguquguquka)

Njengoba kunezici eziningi ezibangela lokhu, akuzona zonke izimbangela ezingaguqulwa. Kodwa-ke, izinguquko zendlela yokuphila zingenza umehluko omkhulu. Ukudla ukudla okunomsoco, ukuzivocavoca njalo, nokunciphisa isisindo esiningi kungasiza ekunciphiseni ukumelana kwakho ne-insulin. Khuluma nodokotela wakho ngalokho ongakwenza ukuze ulawule lokhu kangcono.

Ukudla kuthinta kanjani ukumelana ne-insulin?

Ukudla okudlayo kunomthelela omkhulu kushukela wegazi lakho kanye namazinga e-insulin. I-Glycemic Index (GI) iyisilinganiso sokuthi ukudla okudlayo kuphakamisa ngokushesha kangakanani amazinga kashukela egazini lakho.

Ukudla okune-GI ephezulu kuvame ukuqukethe ama-carbohydrate amaningi kanye/noma ushukela. Uma ukukudla, amazinga kashukela egazini lakho akhuphuka ngokushesha, futhi udinga i-insulin eningi ukuze wehlise isisindo. Ngakho-ke, kufanele ugweme ukudla iziphuzo eziningi ezinoshukela (i-soda, iziphuzo ezibandayo, iziphuzo zezithelo zokwenziwa) kanye nokudla okufana nalokhu:

• Isinkwa (isinkwa esimhlophe)
• Izambane
• Izinhlobo zokusanhlamvu kwasekuseni
• Ukudla okumnandi okufana namakhekhe namabhisikidi
• Ezinye izithelo ezifana nekhabe namadethi (lezi zinoshukela omningi)

Uma udla ukudla okune-GI ephansi , izinga likashukela egazini lakho lenyuka kancane. Lokhu kusho ukuthi i-pancreas yakho akudingeki isebenze kanzima ukuze ikhiqize i-insulin. Ngokuvamile kungcono kubantu abanokumelana ne-insulin ukudla ukudla okune-GI ephansi, okufana nalokhu:

• Imifino efana nobhontshisi, ubhontshisi, kanye ne-lentile
• Izithelo ezinjengama-apula namajikijolo
• Imifino engenasitashi esiningi - izibonelo: i-asparagus, i-cauliflower, imifino enamaqabunga aluhlaza
• Amantongomane
• Ukudla kobisi, inhlanzi, inyama

Khumbula: Khuluma nodokotela wakho njalo ngaphambi kokwenza noma yiziphi izinguquko ezinkulu ekudleni kwakho. Angakweluleka ngesinyathelo esingcono kakhulu ongasithatha.

Yiziphi izici eziyingozi zokukhula kokumelana ne-insulin? (Izici Eziyingozi)

Izici ezithile eziyingozi ngenxa yezakhi zofuzo kanye nendlela yokuphila zingandisa ingozi yakho yokuthola ukumelana ne-insulin noma isifo sikashukela esingakafiki. Lezi zici eziyingozi zifaka:

• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile , ikakhulukazi amafutha amaningi azungeze isisu.
• Uneminyaka engu-45 noma ngaphezulu.
• Ukuba nesifo sikashukela kumalungu omndeni aseduze (abazali, abafowabo nodadewabo).
• Ukungasebenzi ngokomzimba.
• Ukuba nezimo zempilo ezifana nomfutho wegazi ophezulu kanye ne-cholesterol ephezulu.
• Ukuba nesifo sikashukela ngesikhathi sokukhulelwa (isifo sikashukela sokukhulelwa).
• Ukuba nesifo senhliziyo noma isifo sohlangothi.
• Izinkinga zokulala , isibonelo, i-sleep apnea.
• Ukubhema.

Futhi, ingozi ingaba phezulu kancane uma ungowalezi zizwe:

• Okumnyama
• IsiHispanic/IsiLatini
• Isi-Asia
• EMpumalanga Ephakathi

Asikwazi ukushintsha ezinye izinto eziyingozi, njengomlando womndeni kanye nobudala. Kodwa-ke, ungazama ukunciphisa ingozi yakho yokuthola lesi simo ngokugcina isisindo esinempilo esikufanele nokuzivocavoca njalo.

Uyini umbono womuntu onesifo sokumelana ne-insulin?

Uma unalesi simo, buza udokotela wakho ukuthi yini ongayilindela nokuthi ungayisingatha kanjani kangcono.

Umbono wakho uncike ezintweni eziningana:

• Imbangela yokumelana ne-insulin
• Ubunzima bokumelana ne-insulin
• Indlela wena nodokotela wakho eniphatha ngayo lesi simo

Abanye abantu bangase babe nokumelana okuncane kwe-insulin, okungase kungalokothi kuthuthukele ekubeni yi-prediabetes noma isifo sikashukela sohlobo 2. Bangase futhi babe nokumelana kwe-insulin okungaguqulwa noma kulawulwe ngokushintsha indlela yokuphila.

Yiziphi izinkinga ezingaba khona ngenxa yokumelana ne-insulin?

Uma lesi simo singaphathwa kahle, kungaba nezinkinga. Izinkinga ezingaba khona zifaka:

• Isifo sikashukela sohlobo 2
• I-Metabolic syndrome
• Isifo senhliziyo

Akuwona wonke umuntu onesifo sokumelana ne-insulin ozoba nezinkinga. Uma utholakale unalesi simo, kubalulekile ukuzama ukuvimbela lezi zinkinga. Qiniseka ukuthi ubona udokotela wakho njalo, futhi ulandele uhlelo lwakho lokwelashwa ngokucophelela.

Kufanele ngimbone nini udokotela mayelana nokumelana ne-insulin?

Uma uke watholakala unalesi simo, kubaluleke kakhulu ukubona udokotela wakho njalo. Angahlola ukuthi amazinga kashukela egazini lakho asezingeni elifanele nokuthi ukwelashwa kwakho kuyasebenza.

Uma unezimpawu zoshukela ophezulu egazini noma isifo sikashukela esingakafiki ezingeni elifanele, bona udokotela wakho ngokushesha. Angenza izivivinyo ezilula ukuhlola amazinga kashukela egazini lakho.

Uma othile emndenini wakho enesifo sikashukela noma ukumelana ne-insulin, khuluma nodokotela wakho ngengozi yakho yokuthola lesi simo.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma utholakale unalesi simo, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Iyini imbangela yokumelana kwami ​​ne-insulin?
• Iyini ingozi yami yokuthola isifo sikashukela sangaphambi kwesifo sikashukela noma isifo sikashukela sohlobo 2?
• Ingabe kukhona umuthi engingawuthatha?
• Ingabe kufanele ngibone uchwepheshe walesi simo?

Okokugcina, izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, sibonile ukuthi ukumelana ne-insulin kuyisimo esiyinkimbinkimbi kancane, futhi kungathinta impilo yethu ngezindlela eziningi. Ngokuvamile, akubonisi zimpawu kuze kube yilapho kuba yi-prediabetes noma isifo sikashukela sohlobo 2.

Ngakho-ke, into engcono kakhulu ongayenza ukuzama ukuvimbela lesi simo, noma okungenani ukusiguqula uma sivela. Ukuze wenze lokhu , gcina isisindo esinempilo esikufanele, uvivinye umzimba njalo, futhi udle ukudla okunempilo.

Kodwa-ke, ngezinye izikhathi akunakwenzeka ukuvimbela noma ukwelapha zonke izici ezibangela lesi simo. Uma unemibuzo mayelana nengozi yakho noma ngalesi simo, qiniseka ukuthi ukhuluma nodokotela wakho. Bakhona ukukusiza.

Ukumelana ne - insulin, isifo sikashukela, isifo sikashukela esingakafiki, ushukela egazini, i-pancreas, ukukhuluphala, ukudla okunempilo, ukuzivocavoca, ama-hormone