Kukaniza kwa insulin: ndichiyani, mayeso, zoyambitsa ndi chithandizo

Zamkati

• Mayeso omwe amathandiza kuzindikira
• 1. Mayeso amkamwa osagwirizana ndi shuga (TOTG)
• 2. Kusala kudya kwa shuga
• 3. Chizindikiro cha HOMA
• Zomwe zingayambitse insulini kukana
• Momwe mankhwalawa amachitikira

Insulini yolimbana ndi matenda a insulin imachitika pamene mphamvu ya hormone iyi, yotumiza shuga kuchokera m'magazi kupita m'maselo, ichepetsedwa, ndikupangitsa kuti shuga izidzikundikira m'magazi, ndikupangitsa matenda ashuga.

Kukana kwa insulini nthawi zambiri kumachitika chifukwa chophatikizika kwa cholowa ndi matenda ena ndi zizolowezi za munthu, monga kunenepa kwambiri, kusagwira ntchito komanso kuchuluka kwa mafuta m'thupi, mwachitsanzo. Kukana kwa insulin kumatha kudziwika kudzera m'mayeso osiyanasiyana amwazi, monga kuyezetsa magazi, index ya HOMA kapena mayeso olekerera pakamwa.

Matendawa ndi mtundu wa matenda ashuga, chifukwa ngati sachiritsidwa ndikuwongoleredwa, ndikuwongolera chakudya, kuchepa thupi komanso kuchita masewera olimbitsa thupi, amatha kukhala mtundu wachiwiri wa matenda ashuga.

Mayeso omwe amathandiza kuzindikira

Kukana kwa insulin sikumayambitsa zizindikiro, kuyesa magazi kosiyanasiyana kumatha kutsimikiziridwa kuti:

1. Mayeso amkamwa osagwirizana ndi shuga (TOTG)

Kuyesaku, komwe kumatchedwanso kuyesa kupindika kwa glycemic, kumachitika poyesa kuchuluka kwa shuga mukamamwa pafupifupi 75 g wamadzi otsekemera. Kumasulira kwa mayeso kumatha kuchitika pambuyo pa maola 2, motere:

• Zachilendo: zosakwana 140 mg / dl;
• Kukaniza kwa insulin: pakati pa 140 ndi 199 mg / dl;
• Matenda ashuga: wofanana kapena wamkulu kuposa 200 mg / dl.

Pamene kukana kwa insulin kukukulirakulira, kuwonjezera pa shuga kuwonjezeka mukatha kudya, kumawonjezerekanso pakusala kudya, chifukwa chiwindi chimayesetsa kuthana ndi kusowa kwa shuga mkati mwa maselo. Chifukwa chake, mayeso osala a shuga amathanso kuchitidwa.

Onani zambiri zamayeso am'mimba osagwirizana ndi shuga.

2. Kusala kudya kwa shuga

Kuyesaku kumachitika pambuyo pa kusala kwa maola 8 mpaka 12, ndipo magazi amatengedwa ndikuwunikidwa mu labotore. Zotsatira zake ndi izi:

• Zachilendo: zosakwana 99 mg / dL;
• Kusintha kwa kusala shuga: pakati pa 100 mg / dL ndi 125 mg / dL;
• Matenda ashuga: wofanana kapena wamkulu kuposa 126 mg / dL.

Munthawi imeneyi, magulu a shuga amatha kuwongoleredwa, chifukwa thupi limapangitsa kuti kapamba azipanga insulini yochulukirapo, kuthana ndi kukana kwake.

Onani momwe kuyezetsa magazi magazi kusala pang'ono kuchitidwa komanso momwe mungamvetsetse zotsatira zake.

3. Chizindikiro cha HOMA

Njira ina yodziwira kukana kwa insulin ndiyo kuwerengera index ya HOMA, yomwe ndi kuwerengera komwe kumachitika pakati pa kuchuluka kwa shuga ndi kuchuluka kwa insulin m'magazi.

Makhalidwe abwinowo mu index ya HOMA ndi ambiri motere:

• Mtengo Wofotokozera wa HOMA-IR: ochepera 2.15;
• Mtengo Wofotokozera wa HOMA-Beta: pakati pa 167 ndi 175.

Izi zitha kusiyanasiyana ndi labotore, ndipo ngati munthuyo ali ndi Index Mass Mass (BMI), chifukwa chake, amayenera kumasuliridwa ndi adotolo.

Onani chomwe chiri ndi momwe mungawerengere index ya HOMA.

Zomwe zingayambitse insulini kukana

Matendawa, nthawi zambiri, amapezeka mwa anthu omwe ali ndi vuto lobadwa nalo, akakhala ndi abale awo omwe adakhalapo kapena ali ndi matenda ashuga, mwachitsanzo.

Komabe, imatha kukula ngakhale mwa anthu omwe alibe chiopsezo chotere, chifukwa cha zizolowezi za moyo zomwe zimayambitsa kuwonongeka kwa kagayidwe kake, monga kunenepa kwambiri kapena kuchuluka kwa m'mimba, kudya ndi chakudya chambiri, kusagwira ntchito, kuthamanga kwa magazi kapena kuchuluka kwa mafuta m'thupi ndi triglycerides.

Kuphatikiza apo, kusintha kwama mahomoni, makamaka azimayi, kumathandizanso kuti pakhale mwayi wokhala ndi insulin, monga azimayi omwe ali ndi polycystic ovary syndrome, kapena PCOS. Mwa amayiwa, kusintha komwe kumayambitsa kusamba kwa msambo komanso kuchuluka kwa mahomoni a androgenic kumayambitsanso kuchepa kwa insulin.

Momwe mankhwalawa amachitikira

Ngati chithandizo choyenera cha kukana kwa insulin chikuchitika, chitha kuchiritsidwa ndikuletsa kukula kwa matenda ashuga. Pofuna kuthana ndi vutoli, chitsogozo kuchokera kwa dokotala kapena endocrinologist chimafunikira, ndipo chimakhala ndi kuchepa thupi, kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi ndikuwunika kuchuluka kwa magazi m'magazi, ndikuwunika zamankhwala miyezi iliyonse itatu kapena isanu ndi umodzi. Onani momwe chakudya chiyenera kukhalira kwa iwo omwe ali ndi matenda ashuga.

Dotolo amathanso, ngati ali ndi chiwopsezo chowonjezeka cha matenda ashuga, angakupatseni mankhwala monga metformin, omwe ndi mankhwala omwe amathandizira kuchepetsa kupanga shuga ndi chiwindi komanso kukulitsa chidwi cha insulin, chifukwa cha kuchuluka kwa shuga ndi minofu. Komabe, ngati munthuyo ali wovuta pa chithandizo ndi zakudya komanso zolimbitsa thupi, kugwiritsa ntchito mankhwala sikungakhale kofunikira.