Ukuxhathisa kwe-insulin: yintoni, iimvavanyo, izizathu kunye nonyango

Umxholo

• Iimviwo ezinceda ukufumanisa
• 1. Uvavanyo lokunyamezelana ngeswekile yomlomo (i-TOTG)
• 2. Ukuzila ukutya uvavanyo lweglucose
• 3. Isalathiso seHOMA
• Izizathu ezinokubangela ukunganyangeki kwi-insulin
• Unyango lwenziwa njani

Isifo sokunganyangeki kwi-insulin senzeka xa isenzo sale hormone, sokuhambisa iswekile egazini isiya kwiiseli, sincitshisiwe, sibangela ukuba iswekile iqokelelene egazini, inike isifo seswekile.

Ukuxhathisa kwe-insulin kuhlala kubangelwa kukudibana kwempembelelo yelifa kunye nezinye izifo kunye nemikhwa yomntu, njengokutyeba kakhulu, ukungasebenzi komzimba kunye nokunyusa i-cholesterol, umzekelo. Ukuxhathisa kwe-insulin kunokufunyanwa kwiimvavanyo ezahlukeneyo zegazi, ezinje ngovavanyo lweglucose, isalathiso seHOMA okanye uvavanyo lokunyamezelana ngomlomo.

Esi sifo luhlobo lwesifo seswekile, kuba ukuba asinyangwa kwaye silungiswa, ngokulawulwa kokutya, ukwehla kobunzima kunye nokusebenza komzimba, inokujika ibe luhlobo lwe-2 yeswekile.

Iimviwo ezinceda ukufumanisa

Ukuxhathisa kwe-insulin akusoloko kubangela iimpawu, kungenziwa iimvavanyo ezahlukeneyo zegazi ukuqinisekisa isifo:

1. Uvavanyo lokunyamezelana ngeswekile yomlomo (i-TOTG)

Olu vavanyo, lukwabizwa ngokuba kukuvavanya igophe le-glycemic, lwenziwa ngokulinganisa ixabiso leswekile emva kokufaka malunga ne-75 g yolwelo oluneswekile. Ukutolikwa koviwo kunokwenziwa emva kweeyure ezi-2, ngolu hlobo lulandelayo:

• Eqhelekileyo: ngaphantsi kwe-140 mg / dl;
• Ukuxhathisa kwe-insulin: phakathi kwe-140 kunye ne-199 mg / dl;
• Seswekile: ilingana okanye ingaphezulu kwe-200 mg / dl.

Njengoko ukunganyangeki kwe-insulin kuya kusiba kubi, ukongeza kwiswekile eyandayo emva kokutya, kuyonyuswa nasekukhawuleni, kuba isibindi sizama ukubuyekeza ukungabikho kweswekile ngaphakathi kweeseli. Ke ngoko, uvavanyo lweglucose lokuzila lunokwenziwa.

Bona ezinye iinkcukacha malunga novavanyo lokunyamezelana ngeswekile yomlomo.

2. Ukuzila ukutya uvavanyo lweglucose

Olu vavanyo lwenziwa emva kweeyure ezisi-8 ukuya kwezi-12 zokuzila, kuze kuqokelelwe isampulu yegazi ize ivavanywe elebhu. Amaxabiso esalathiso ngala:

• Eqhelekileyo: ngaphantsi kwama-99 mg / dL;
• Iswekile yokuzila ukudla eguqulweyo: phakathi kwe-100 mg / dL kunye ne-125 mg / dL;
• Seswekile: kulingana okanye ngaphezulu kwe-126 mg / dL.

Ngeli xesha, amanqanaba eswekile asakwazi ukulawulwa, kuba umzimba uvuselela i-pancreas ukuba ivelise izixa ezikhulu ze-insulin, ukubuyekeza ukunganyaniseki kwisenzo sayo.

Jonga ukuba uvavanyo lokutya kweglucose lwenziwa njani kunye nendlela yokuqonda iziphumo.

3. Isalathiso seHOMA

Enye indlela yokufumanisa ukunganyangeki kwe-insulin kukubala isalathiso se-HOMA, esibalo esenziwe ukuvavanya ubudlelwane phakathi kwesixa seswekile kunye nenani le-insulin egazini.

Amaxabiso aqhelekileyo kwisalathiso se-HOMA, ngokubanzi, ngolu hlobo lulandelayo:

• Ixabiso lesalathiso seHOMA-IR: ngaphantsi kwe-2.15;
• Ixabiso lesalathiso seHOMA-Beta: phakathi kowe-167 nowe-175.

La maxabiso esalathiso ahluka ngokwelabhoratri, kwaye ukuba umntu une-Mass Mass Index (BMI) ephezulu kakhulu, ke ngoko, kufuneka ihlale itolikwa ngugqirha.

Jonga ukuba yeyantoni kunye nendlela yokubala isalathiso seHOMA.

Izizathu ezinokubangela ukunganyangeki kwi-insulin

Esi sifo, kwiimeko ezininzi, sibonakala kubantu esele benofuzo, xa benamanye amalungu osapho abanesifo seswekile, umzekelo.

Nangona kunjalo, inokukhula nkqu nakubantu abangenawo lo mngcipheko, ngenxa yeendlela zokuphila ezichaphazela ukonakala kwemetabolism, njengokutyeba kakhulu okanye ukonyusa umthamo wesisu, ukutya okunee-carbohydrate ezigqithisileyo, ukungasebenzi komzimba, uxinzelelo lwegazi oluphezulu okanye ukwanda kwecholesterol kunye nee-triglycerides.

Ukongeza, utshintsho lwehomoni, ngakumbi kwabasetyhini, lunokwandisa amathuba okuphucula ukunganyangeki kwe-insulin, njengakwabasetyhini abane-polycystic ovary syndrome, okanye i-PCOS. Kula mabhinqa, utshintsho olukhokelela kukungalingani exesheni kunye nokwanda kwehomoni ye-androgenic ikwabangela ukungasebenzi kakuhle kwe-insulin.

Unyango lwenziwa njani

Ukuba unyango oluchanekileyo lokuchasana ne-insulin luyenziwa, luyanyangeka kwaye ke kuthintele ukukhula kwesifo seswekile. Ukunyanga le meko, isikhokelo esivela kugqirha oqhelekileyo okanye ugqirha we-endocrinologist siyafuneka, kwaye siqulathe ukwehla kobunzima, ukwenza ukutya kunye nomsebenzi womzimba kunye nokujonga amanqanaba eglucose egazini, ngokujonga ezonyango rhoqo kwiinyanga ezi-3 okanye ezi-6. Jonga ukuba ukutya kufanele ukuba njani kwabo bane-pre-diabetes.

Ugqirha usenokuthi, kwimeko yokonyuka komngcipheko wesifo seswekile, amisele amayeza anje nge-metformin, eliyeza elinceda ukulawula ukuveliswa kweswekile sisibindi kunye nokwandisa ubuntununtunu kwi-insulin, ngenxa yokwanda kokusetyenziswa kweswekile ngemisipha. Nangona kunjalo, ukuba umntu ungqongqo kunyango ngokutya kunye nokusebenza komzimba, ukusetyenziswa kwamayeza kunokuba kungafuneki.