Daga cikin sauran dalilai masu haɗarin kamuwa da cututtukan ƙwayar cutar sankara, ƙarancin insulin resistance index na homa ir yana da mahimmanci. Amma da farko, kuna buƙatar fahimtar menene juriya ta insulin, kamar haka.
Kalmar ta ƙunshi abubuwa biyu: juriya da insulin. Insulin shine hormone wanda ƙwayar ƙwayar ƙwayar cuta ta hanta. Aikinsa shine rushewar glucose da ke shiga jikin mutum don sel su shanye shi kuma su sami kuzarin da suke buƙata. Resistance - juriya, rashin hankali na jiki don aiwatar da kowane irin dalili (magunguna, cututtukan, gurbatawa, cututtukan fata, da sauransu).
Don haka, jurewar insulin yana nufin kariyar jiki ga hormone wanda aka samar, wanda ke haifar da lalacewa a cikin ƙwayar glucose, yana hana shigarwa cikin sel, da kuma ƙaruwa cikin sukari jini da matakan insulin.
Sakamakon haka, jurewar insulin shine ɗayan manyan dalilai na haɓaka nau'in mellitus na II na sukari, da kuma sauran cututtuka masu yawa:
- Ciwon zuciya na Ischemic;
- na jijiyoyin jini arteriosclerosis;
- hauhawar jini
- bugun jini.
Bugu da ƙari ga tasirin hypoglycemic, insulin yana yin wasu mahimman ayyukan: yana daidaita kitsen mai da gina jiki metabolism, yana rinjayar ƙirar DNA, da kuma daidaita ci gaban nama. Sabili da haka, rigakafin sel don insulin yana haifar da mummunan canje-canje a cikin metabolism na sunadarai da mai, aikin sel, da sauransu.
Baya ga juriya na insulin, akwai kuma "insulin resistance syndrome", ko ciwo na rayuwa. Wannan manufar ta hada da hadadden alamomin halayyar mutum: keta wasu matakai na rayuwa, yawan kiba iri iri, hauhawar jini, kara hadarin kamuwa da cutar zuciya.
Sanadin Resulin Juriya
Kamar sauran yanayi, a wasu halaye, jurewar insulin ba cuta ba ce.
Ana kuma lura da rashin lafiyar insulin na jiki a cikin mutane masu lafiya da daddare, a cikin yara yakan haifar da shi yayin balaga.
Jinin insulin a lokacin daukar ciki ko yayin kashi na biyu na haila shima ana daukar shi al'ada ne.
Anyi la'akari da yanayin juriya na insulin a cikin wadannan lambobin:
- Al`amarin
- Abun kiba (i.e., yawan kitse ana ajiye shi da farko akan ciki).
- Nau'in ciwon siga na II.
- Ketoacidosis.
- Nau'in na ciwon sukari na mellitus (matakin lalacewa).
Koyaya, yana da ban sha'awa cewa juriyawar insulin na iya haɓaka yayin da ba abubuwan da ke da illa ba. Misali, ba koyaushe yake haɗuwa da ciwon sukari ba. Hakanan, juriyawar insulin na iya faruwa a cikin mutanen da basu da kiba. Amma wannan yana faruwa ne kawai a cikin 25% na lokuta, saboda haka an yi imani cewa insensitivity insulinitivity abokin abokin kiba ne da kuma digiri na gaba.
Baya ga abubuwan da ke sama, juriya na insulin yana haɗuwa da waɗannan cututtuka:
- acromegaly;
- rashin haihuwa
- kwayar polycystic;
- hypothyroidism;
- szarinicharsus.
Bayyanar cututtuka na jurewar insulin ana iya fito da su ne kawai idan cutar ta riga ta kama mummunan tsari. A wannan matakin, rikice-rikice na rayuwa sun riga sun fara faruwa. Kafin wannan, ilimin cuta yana da matukar wahala a gane shi.
Ofayan ɗayan hanyoyin bincike shine gwaje-gwaje na musamman don juriya na insulin.
Jinin insulin juriya
A halin yanzu, ana aiwatar da lissafin jarin insulin ta amfani da dabaru guda biyu: HOMA IR da CARO. Amma da farko, mai haƙuri dole ne ya ba da gudummawar jini don bincike.
Gwajin homo yana sa ya yiwu a tantance haɗarin kamuwa da cututtukan cututtukan fata (masu ciwon sukari, atherosclerosis), da kuma juriya ta insulin a wasu rikice-rikice na jiki.
Ana yin lissafin homo homo ta hanyar amfani da tsari na musamman: matakin insulin (azumi) * glucose na jini (azumi) / 22.5.
Canje-canje a cikin ƙirar gida ir na faruwa sau da yawa saboda canji a matakin ɗayan waɗannan alamun. Idan matakin glucose ya wuce matakin al'ada, zamu iya magana game da juriya tsakanin insulin da kuma babban hadarin kamuwa da ciwon suga, illa gazawar zuciya da jijiyoyin jini.
Al'ada ga mutanen da ke da shekaru 20-60 suna dauke da matsayin juriya na homa insulin na 0 - 2.7. Saboda haka, ƙa'ida cikakkiyar rashin saurin kamuwa da insulin, ko ƙara ƙaruwa. Valueimar da ta bambanta da al'ada ita ce dalilin gano cutar “insulin resistance” kuma tana nuna babbar haɗarin haɓaka cututtuka daban-daban.
Yawan matakan glucose na plasma sun dan bambanta da shekaru. A cikin yara 'yan shekaru 14, alamar ta yau da kullun tana daga 3 zuwa 5, 6 mmol / l. Bayan shekaru 14, adadin al'ada ya karu zuwa 4.4-5.9 mmol / L. Babu sauran bambance-bambance a cikin taro na yau da kullun. Abubuwan insulin na yau da kullun sun kasance daga 2.6 zuwa 24.9 μU / ml.
An tsara wannan nau'in bincike ba kawai ga masu ciwon sukari ba, har ma don wasu cututtukan da ake zargi, ciki har da cututtukan ƙwayar ƙwayar cuta na polycystic, cututtukan hepatitis B da C, gazawar koda, da wasu cututtukan hanta da rashin lalacewa.
Don samun cikakken sakamakon HOMA IR, dole ne a bi duk umarnin likita, saboda abubuwan da yawa zasu iya shafar sakamakon:
- Lokacin cin abinci na ƙarshe (ana bada shawara don ɗaukar kwayoyin halitta kawai a kan komai a ciki).
- Shan magani.
- Ciki
- Damuwa.
Rashin daidaituwa da yarda da ka'idodi don isar da kayan tarihi ya shafi sakamako na karshe.
Na biyu nau'in gwajin juriya na insulin shine CARO. Don samun ƙirar caro, ana amfani da tsari mai zuwa: mai nuna alamar glucose na jini (mmol / l) / mai nuna alamar matakin insulin (mmol / l).
Ba kamar ƙirar homo ba, ƙirar caro index tayi ƙasa sosai: kyakkyawan sakamako bai wuce 0.33 ba.
Magungunan Maganin Insulin Resistance
Jurewar insulin shine yanayin da ke buƙatar gaggawa. Sabili da haka, lura da shi ba kawai zai yiwu ba, har ma ya zama dole.
Hakikanin dabarun magani tare da babban insulin juriya index homa ir har yanzu ba a bunkasa ba.
Akwai matakai da yawa waɗanda ke taimakawa inganta yanayin.
Gabaɗaya, waɗannan matakan iri ɗaya ne kamar yadda aka ba da shawarar irin nau'in ciwon sukari na II:
- abinci
- matsakaici na jiki;
- asarar nauyi.
Babban haɗarin haɗari shine kiba na ciki, wanda kitse ya tara yafi a cikin ciki. Kuna iya ƙayyade nau'in kiba tare da taimakon tsari mai sauƙi: OT (keɓewa da kugu) / OB (keɓewar hip). Sakamakon al'ada na maza bai wuce 1 ba, ga mata - 0.8 ko ƙasa da haka.
Rage nauyi shine mahimmin mahimmanci a lura da juriya na insulin. Gaskiyar ita ce aikin metabolism na adipose nama yana da girma sosai. Ita ce ta kasance "mai laifi" ta haɓakar mai mai, wanda ke lalata insulin haɓaka, shine, a zahiri, yana ƙaruwa da juriya daga insulin.
Rashin nauyi mai nauyi ba shi yiwuwa idan ba tare da motsa jiki ba. Ya kamata a zaɓi nau'in ayyukan bisa ga ikon ku, ba ƙoƙarin "tsallake samanku ba." Babban abu anan shine don motsawa ƙari. Motsa jiki ba kawai zai iya ba da taimako mai mahimmanci ba a cikin asarar nauyi, amma kuma yana inganta tasirin magani. Aiki yana taimakawa ƙarfafa tsokoki inda kashi 80% na duk masu karɓar insulin suke. Saboda haka, yadda mafi tsoka suke aiki, haka masu karɓa su yi aikinsu.
Daga cikin wasu abubuwa, dole ne ku watsar da halaye marasa kyau: shan sigari yana rage tafiyar matakai na rayuwa a jikin mutum, kuma barasa yana da babban ma'aunin glycemic.
A wasu halaye, lokacin da canje-canje a cikin abinci mai gina jiki da kuma ƙara yawan aikin haƙuri ba su ba da sakamakon da ake so, likita na iya ba da ƙarin ƙarin magunguna. An zaɓi magunguna iri-iri daban-daban dangane da yanayin haƙuri. Mafi sau da yawa, Metformin 850, Siofor, Glyukofazh, Aktos (ƙarancin lokaci) da sauransu ana wajabta su don rage juriya na insulin.
Kamar yadda al'adar ta nuna, ba shi da ma'ana a maye gurbin kwayoyi tare da magungunan jama'a, tunda ƙarshen ba zai haifar da komai ba.
Sabili da haka, kada ku ɓata lokaci a kansu kuma ku mai da hankali kan sauya tsarin abincin da aiwatar da wasu shawarwarin likitan halartar. A wannan yanayin, yiwuwar warkarwa zai zama mafi girma.
Abincin don juriya insulin
Abincin da ke da babban juriya na insulin baya nufin yunwa. Ya kamata ya dogara da ka'idodin abinci mai lafiya. Duk samfuran da ke da alaƙar glycemic index ba'a cire su a cikin menu ba: da farko dai, dankali, Sweets, burodi da aka yi daga gari alkama, tunda suna ƙara yawan abubuwan glucose a cikin jini, wanda ba a yarda dashi yayin jiyya.
A bu mai kyau a hada cikin kayan masarufi tare da karamin glycemic index. Waɗanda ke da wadatattun zaren fiber za su yi kyau sosai. Irin wannan abincin zai zama da amfani, saboda ana narke shi a hankali, kuma sukari yakan tashi a hankali.
Bugu da ƙari, a cikin menu kuna buƙatar shigar da abinci mai wadataccen fats mai polyunsaturated. Yawan adadin mai mai narkewa, akasin haka, dole ne a rage shi. Abincin da ke da ƙoshin mai mai polyunsaturated sun haɗa da avocados, har ma da mai, kamar zaitun ko flaxseed.
Yawancin abincin da ke cikin mai mai yawa ya kamata a rage (ware man shanu, cream, rago, alade, da dai sauransu daga abincin). Hakanan, menu ya kamata ya haɗa da kifaye na nau'ikan daban-daban, saboda yana da wadataccen abinci a cikin omega-3 mai kitse, wanda ke ƙara ji da ƙwayoyin sel zuwa insulin.
Tushen a lokacin jiyya ya kamata ya haɗa da 'ya'yan itacun sabo (' ya'yan lemun tsami, apples, avocados, apricots), berries, kayan lambu (kowane irin kabeji, wake, alayyafo, karas da albasa, beets). Gurasar an yarda ne kawai daga duka hatsi ko hatsin hatsin rai. Daga cikin hatsi, buckwheat da oat za su kasance da amfani sosai.
Wani samfurin da dole ne ka daina shine kofi. Tabbas, wannan abin sha yana da kaddarorin da yawa masu amfani, amma tare da juriya na insulin kawai zai yi lahani da yawa: maganin kafeyin yana inganta haɓakar insulin.
Dole ne a yi canje-canje a cikin abincin da kanta. Da farko dai, ba lallai ba ne a kyale sama da awanni 3-3.5 ta kare tsakanin abinci. Sabili da haka, koda da al'ada ce a ci sau 2 a rana, wannan tilas a canza shi zuwa abinci mai narkewa. Babban rata tsakanin abinci, musamman bayyanar tsananin yunwar, yana haifar da rashin lafiyar jiki.
Hakanan yana da mahimmanci a lura da tsarin shaye-shaye: yayin magani yana da daraja shan ƙarin tsarkakakken ruwa - akalla lita 3. Idan irin wannan tsarin shaye-shaye baƙon abu bane, bazaka canza shi da yawa ba - ƙodan bazai iya jure nauyin ba. Da farko, yana da kyau a sha ruwa kadan fiye da yadda aka saba, amma a hankali kawo ƙarar ruwa zuwa gilashin 8 - 9 a rana. Bidiyo a cikin wannan labarin zaiyi magana dalla-dalla game da matsalar.
