Kuyesa kwa Insulin C-peptide

C-peptide ndi chinthu chomwe chimapangidwa pomwe mahomoni a insulin amapangidwa ndikutulutsidwa m'thupi. Kuyesa kwa insulin C-peptide kumayeza kuchuluka kwa mankhwalawa m'magazi.

Muyenera kuyesa magazi.

Kukonzekera mayeso kumadalira chifukwa cha muyeso wa C-peptide. Funsani omwe akukuthandizani ngati simukuyenera kudya (mwachangu) musanayezedwe. Wothandizira anu akhoza kukupemphani kuti musiye kumwa mankhwala omwe angakhudze zotsatira za mayeso.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

C-peptide amayesedwa kuti adziwe kusiyana pakati pa insulin yomwe thupi limatulutsa ndi insulin yomwe imayikidwa mthupi.

Wina yemwe ali ndi mtundu wa 1 kapena mtundu wachiwiri wa shuga amatha kuyeza C-peptide kuti awone ngati thupi lawo likupangabe insulin. C-peptide imayesedwanso ngati shuga wambiri wamagazi awone ngati thupi la munthu limatulutsa insulin yochulukirapo.

Mayesowa amalamulidwanso kuti aunike mankhwala ena omwe angathandize thupi kupanga insulin yambiri, monga ma glucagon-like peptide 1 analogs (GLP-1) kapena DPP IV inhibitors.

Zotsatira zabwinobwino zimakhala pakati pa 0,5 mpaka 2.0 nanograms pa mamililita (ng / mL), kapena 0.2 mpaka 0.8 nanomoles pa lita (nmol / L).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mulingo wabwinobwino wa C-peptidi umazikidwa pamlingo wa shuga m'magazi. C-peptidi ndi chizindikiro choti thupi lanu limapanga insulin. Mulingo wotsika (kapena wopanda C-peptide) umawonetsa kuti kapamba wanu akupanga insulin pang'ono kapena alibe.

• Mulingo wotsika ukhoza kukhala wabwinobwino ngati simunadye posachedwa. Magazi anu a shuga ndi insulin nthawi zambiri amakhala otsika pamenepo.
• Mulingo wotsika ndiwachilendo ngati shuga lanu lamagazi ndilokwera ndipo thupi lanu liyenera kupanga insulini nthawi imeneyo.

Anthu omwe ali ndi matenda a shuga amtundu wa 2, kunenepa kwambiri, kapena kukana kwa insulin atha kukhala ndi mulingo wokwera wa C-peptide. Izi zikutanthauza kuti thupi lawo limapanga insulin yambiri kuti asunge (kapena kuyesa kusunga) shuga wamagazi abwinobwino.

Pali chiopsezo chochepa chotenga magazi anu: Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita kwina. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakhudzidwa ndikutengedwa magazi ndizochepa koma mwina ndi izi:

• Magazi
• Kukomoka kapena kumva mopepuka
• Ma punctcha angapo kuti ayese kupeza mitsempha
• Hematoma (magazi omanga pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

C-peputayidi

• Kuyezetsa magazi

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Type 1 matenda a shuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 36.

Chernecky CC, Berger BJ. C-peputayidi (wolumikiza peputayidi) - seramu. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2013: 391-392.

[Adasankhidwa] Kahn CR, Ferris HA, O'Neill BT. Pathophysiology yamtundu wa 2 shuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 34.

Pearson ER, McCrimmon RJ. Matenda a shuga. Mu: Ralston SH, ID ya Penman, Strachen MWJ, Hobson RP, olemba. Mfundo ndi Zochita za Mankhwala a Davidson. Wachitatu. Philadelphia, PA: Elsevier; 2020: chap 20.