An wajabta insulin don ciwon sukari a matsayin hanyar rage yawan sukarin jini. Hyperglycemia shine babban alamar cutar sankarau da kuma babban dalilin rikicewar cuta mai rauni.
Tare da nau'in ciwon sukari na 1 na sukari, insulin ita ce hanya daya tilo don rage sukari, tare da nau'in ciwon sukari na 2, ana kuma buƙatar maƙasudinsa a wasu yanayi (ciki, tiyata, lalata cuta).
Duk masu ciwon suga da aka sa musu insulin suna buƙatar bayani akan ko zai yuwu sauka daga insulin, tunda maimaita injections yana wahalar da rayuwar zamantakewa da sanya ƙuntatawa akan cin abinci da kuma bin ka'idodin al'ada.
Matsayin insulin a cikin jiki
Insulin a cikin jiki yana shafar kowane nau'in metabolism. Amma da farko ya shafi metabolism na carbohydrates. Babban aikin insulin shine canja wurin glucose cikin kwayar ta cikin membrane. Muscle da adipose nama, wanda a cikin jikin mutum yake yin kimanin kashi 68% na yawan nauyin jikin, sunada dogaro ne da insulin.
Juyawa, zagayawa cikin jini da motsi ya danganta ne da ayyukan tsoka, tsotse nama yana aiki don adana karfi a jiki. Tare da rashin samar da insulin, hakika dukkanin gabobin suna wahala, gabobin da suka fi daukar hankali sune kwakwalwa da tsarin jijiyoyin jini. Daga rashin wadataccen abinci na glucose, tsarin rayuwar tantancewar da ba'a iya canzawa ta rayuwa.
Arfin rage matakin glucose a cikin jiki ya dogara ne da insulin. Ana amfani da wannan kadara ta amfani da hanyoyin masu zuwa:
- Rage glucose da sauran abubuwa ta sel suna inganta.
- Ayyukan enzymes waɗanda ke rushe glucose tare da ƙaddamar da makamashi (a cikin hanyar ATP) yana ƙaruwa.
- Glycogen kira daga glucose yana ƙaruwa, wanda aka sanya a cikin hanta da tsokoki (azaman ajiyar ajiyar wuri).
- Rage glucose a cikin hanta an rage shi.
Sakamakon insulin akan metabolism shine haɓaka ɗaukar abubuwan amino acid, potassium, magnesium da phosphate ta sel, kuma don haɓaka kwafin DNA da abubuwan gina jiki. Insulin kuma yana rage raguwar furotin.
Insulin yana daidaita karfin mai ta hanyar canza glucose zuwa triglycerides kuma yana rage faduwar mai. Wato, insulin yana taimakawa wajen adon mai.
Bayan cin abinci, matakan glucose na jini ya tashi, a cikin martani ga wannan, kumburin ya saki insulin. Lokacin da glucose ya faɗi ƙasa da al'ada, ƙaddamar da insulin daga sel beta yana raguwa, amma ba ya tsayawa. Jiki na ciki - glucagon, adrenaline da sauran kwayoyin hodar damuwa sun fara shiga cikin jini, bayan wannan matakin glucose ya hau.
A cikin nau'in 1 na ciwon sukari, ƙwaƙwalwar ƙwayar cuta ta rasa ikonta don samar da insulin. Wannan ya faru ne saboda lalata ƙwayoyin beta ta hanyoyin sarrafa kansa, fallasa ƙwayoyin cuta ko rikicewar ƙwayoyin cuta.
Idan babu insulin, matakan glucose suna ƙaruwa cikin sauri. Karyata insulin na iya haifar da kwayan ciki da mutuwa.
Nau'in na biyu na ciwon sukari yana haɓaka a hankali fiye da nau'in 1, tare da shi ana iya samarda insulin a al'ada ko da adadin mai yawa, amma masu karɓar insulin na sel ba su amsa ba, glucose ba zai iya haye da ƙwayar sel ba kuma ya kasance cikin jini.
Anara yawan matakan glucose a cikin nau'in 1 da nau'in 2 na ciwon sukari yana cutar da jijiyoyin jini, yana haifar da rikitarwa a cikin hanyar:
- Cutar Malaria mai ciwon sukari
- Neuropathies tare da haifar da cututtukan raunuka (ƙafafun sukari).
- Lalacewa ga kodan - nephropathy.
- Arthropathy.
- Tsinkayar ido ita ce maganin cututtukan cututtukan fata.
- Encephalopathy
- Rigakafin saukad da.
Marasa lafiya masu ciwon sukari suna iya kamuwa da cututtuka masu yaduwa da cututtukan fungal, waɗanda, tare da isasshen diyya, suna da wahala, tare da rikitarwa.
Hakanan akwai raunin jiyya ga ƙwaƙwalwar ƙwayar cuta da magungunan antifungal.
Adanawa da kuma cire insulin a cikin masu ciwon sukari
Ciwon sukari na 1 shine cikakkiyar alama ta rashin lafiyar insulin. A irin waɗannan halayen, wannan ne kawai magani wanda zai iya kawar da sakamako mai guba na glucose na jini. Inje insulin na ciwon sukari ba zai iya warkar da cutar ba; kawai tana amfani ne da maye gurbin magani.
"Tsallake insulin" tare da nau'in ciwon sukari na 1 bashi yiwuwa. Idan kun bi abinci kuma ku bi shawarwari don aikin motsa jiki, zaku iya samun raguwar kashi. Ga tambaya - shin zai yiwu a ƙi insulin yayin inganta kyautatawa da rage matakan glucose, endocrinologists suna ba da tabbataccen amsa mara kyau.
Kuna buƙatar allurar insulin don yayi kama da saki na halitta na hormone. A yadda aka saba, ana samarda insulin gaba (basal yana ɓoyewa) na kimanin 1 a kowace awa. Yayin abinci, ana fitar da 1 na insulin ga kowane 10 g na carbohydrates. Saboda haka, allura guda daya na insulin ba zai iya tsayar da matakan glucose akai-akai a cikin jini.
An samarda daskararru masu daukar dogon lokaci, Lantus da Levemir, ana iya allurar su sau daya, amma a aikace yana da matukar wahala a tantance kashi wanda zaiyi aiki na kwana guda a cikin iyakokin da aka tsara, saboda haka amfaninsu yawanci yana dauke ne da hypoglycemia. Yayinda ake yin allurar insulin akai-akai, mafi kusa dashi shine sakin jiki na al'ada da sakin jiki.
Shawarwari kan zaɓi na tsawon lokacin shirye-shiryen insulin da kuma yawan sarrafawa ana iya samun kawai daga endocrinologist yayin nazarin bayanin martaba na glycemic na haƙuri. Bugu da kari, shekarun, matakin motsa jiki da cututtukan da suka danganci ya kamata a la'akari dasu.
A cikin nau'in ciwon sukari na 2, maiyuwa mai yiwuwa ya canza izinin gudanar da insulin a cikin waɗannan yanayi:
- Ciki
- Saukar jini na Myocardial.
- Ischemic ko hemorrhagic bugun jini.
- Rage nauyi mai sauƙi tare da rage cin abinci na yau da kullun.
- Ketoacidosis.
- Tarin tiyata.
- Cutar mai saurin kamuwa da cuta (tare da yuwuwar cututtukan cututtukan cututtukan cututtukan zuciya da na hanji).
- Ciwon mara wanda ba a sarrafa shi.
Idan tare da ciwon sukari, matakan glucose na azumi ya fi 7.85 mmol / L tare da nauyin jiki na al'ada, ko sama da 15 mmol / L tare da kowane nauyi; C-mai canzawa mai gina jiki yana raguwa lokacin da aka gwada shi da glucagon, haemoglobin glycosylated sama da 9% hujja ce na ciwon sukari wanda bai daidaita ba.
Idan mara lafiya ya yarda da maganin da aka wajabta masa, ya bi abinci kuma ya kula da tsarin aikin motsa jiki da aka ba da izini, kuma ba za a iya rage matakan glucose ba, to ana iya yin maganin insulin.
A irin waɗannan halayen, yana yiwuwa a rabu da dogaro da insulin in yana yiwuwa don daidaita metabolism metabolism. Gwajin jini na glycated hemoglobin a cikin watanni shida ya kamata ya nuna raguwa zuwa matakin da aka bada shawara.
Samun jariri na iya haifar da daidaituwar metabolism na metabolism a cikin mata waɗanda suka canza zuwa insulin yayin daukar ciki. Saboda haka, bayan haihuwa, da sannu zasu iya barin insulin su koma ga allunan da ke rage sukari.
Fasalin cirewar insulin
Guji insulin a cikin nau'in ciwon sukari na 2 idan kawai alamar ƙonewa ta haɓaka haemoglobin glycated a cikin ciwon sukari. A tsakanin watanni 6, kuna buƙatar maimaita karatun sau biyu, idan akwai raguwar fiye da 1.5%, to, zaku iya ƙin injections kuma ku ɗauki magungunan.
An hana shi sosai ta hanyar cire alluran insulin ba tare da yardar likita ba, wannan na iya haifar da haɓakar kamuwa da cutar siga. Komawa ga allunan da suka gabata na allunan a cikin kwamfutar hannu zai yiwu ne kawai tare da raguwar hankali a allurai insulin.
Idan ba zai yiwu a daina shan maganin da aka wajabta gaba ɗaya ba, to, akwai damar rage maganin sa. Don yin wannan, kuna buƙatar daidaita abincin don kada samfuran da ke ciki kada su haifar da kwatsam a cikin glucose a cikin jini (sukari da duk samfuran da abubuwan da ke ciki, 'ya'yan itatuwa masu zaki, zuma, samfuran gari, abinci mai mai, musamman nama).
Kuna buƙatar sarrafawa ba kawai abun da ke ciki ba, har ma da yawan abinci. Kula da tsarin shan ruwa - akalla lita 1.5 a rana na ruwa.
Bugu da ƙari, tsarin motar motar wajibi ne - tafiya, motsa jiki, yin iyo ko yoga don masu ciwon sukari. Wajibi ne a kalla awanni 150 a mako cikin himma tare da matsakaiciyar motsa jiki. Hakanan kuna buƙatar sanin manyan ayyukan motsa jiki da dabarun shakatawa. Duk wannan tsarin yana rage bukatar insulin. Bidiyo a cikin wannan labarin yayi magana game da rawar insulin a cikin ciwon sukari.
