A wane matakin ne sukari na jini yake wajabta shi

Matsakaicin sukari (glucose) a cikin jini shine ɗayan manyan alamu na yau da kullun tsarin tsarin tafiyar da jikin mutum.

Tare da bayyanar cututtuka na nau'in 1 mellitus ciwon sukari (rashi insulin), buƙatar allura ba a cikin shakka. Koyaya, akwai ƙarin masu haƙuri da aka gano tare da nau'in ciwon sukari na 2 (har zuwa 90% na masu ciwon sukari), kuma maganin su yana yiwuwa ba tare da amfani da insulin ba.

Lokacin da likita ya ba da shawarar ko da na wucin gadi na allurar rigakafin don irin waɗannan marasa lafiya, tambayar ta taso: a wane matakin matakan sukari na jini aka wajabta?

Ciwon sukari mellitus da insulin

Glucose yana cikin samfuran, lokacin da aka rarrabe shi cikin kwayoyin a cikin hanji, ya shiga cikin jini, daga inda dole ne ya ratsa cikin membrane ta samar da makamashi ga sel.

Don tsari na ƙarshe don ci gaba ba tare da matsala ba, kuna buƙatar:

1. Isasshen adadin insulin a cikin jini;
2. Sirrin masu karɓa na insulin (wuraren shiga cikin tantanin halitta).

Domin glucose ya shiga cikin tantanin halitta ba tare da matsala ba, dole ne insulin ya tuntuɓi masu karɓar sa. Tare da isasshen ji na ƙwarai, wannan tsari yana sa sel membrane ya zama mai yiwuwa ga glucose.

Lokacin da hankalin mai karɓar karɓa ya karɓa, insulin ba zai iya tuntuɓar su ba ko kuma iskar insulin-receptor ligament ba ya haifar da yanayin da ake so. Sakamakon haka, glucose ba zai iya shiga tantanin ba. Wannan yanayin shi ne hali na nau'in ciwon sukari na 2.

Menene alamun sukari don insulinMahimmanci! Don dawo da hankalin masu karɓar insulin, zaku iya cin abinci da kuma amfani da magunguna. A wasu yanayi wanda likita ne kawai zai iya tantancewa, ana buƙatar insulin therapy (na ɗan lokaci ko na dindindin). Injewa na iya ƙara yawan sukari da ke shiga cikin sel har ma da rage raunin ji saboda hauhawar kaya a kansu.

Harkokin insulin zai iya kasancewa cikin buƙata a cikin rashi ko raguwa sakamakon tasirin magani tare da magunguna, abinci da ingantaccen tsarin rayuwa. Lokacin da marasa lafiya suka bi shawarar likita, irin wannan buƙatar ba ta da tabbas.

Alamar insulin da maganin insulin na iya zama darajar glycemia (mai nuna alamar sukari jini) akan komai a ciki a cikin farin jinni sama da 7 mmol / l ko sama da 11.1 mmol / l sa'o'i 2 bayan cin abinci. Wa'adin karshe, dangane da alamomin mutum na mara lafiya, likitocin ne zasu halarta.

Yanayin yayin inje na miyagun ƙwayoyi ya sami damar matsawa matakin sukari na jini zuwa ƙasa zai iya lalacewa ta hanyar waɗannan dalilai:

1. Compimar kuɗi mai tsayi. Prolongara yawan ƙaruwa na sukari na jini ga marasa lafiya da yawa na iya tafiya cikin rashin kulawa, tunda ana ɗaukar alamun a matsayin alamar wata cuta;
2. Pressureara yawan matsin lamba, rage ƙarancin gani na gani, ciwon kai, haɓaka yanayin tasoshin. A wannan yanayin, likita na iya ba da hanya ta hanyar insulin a matakin tsufa - har sai da sukarin jini ya ragu;
3. Cutar sankarar LADA. Wannan cuta ta autoimmune shine nau'in 1 mellitus na sukari, wanda ke faruwa a cikin yanayi mai laushi. Sakamakon kamannin bayyanar cututtuka, ana iya gano shi azaman nau'in ciwon sukari na 2 kuma ana bi da shi tare da magungunan da aka wajabta masa, kodayake yana buƙatar kulawa ta musamman. A sakamakon haka, sauyawa zuwa insulin yana faruwa da sauri - bayan shekaru 3-4;
4. Ciwon ciki. Wannan factor ana la'akari da shekaru, tun da yake galibi ana lura dashi a cikin marasa lafiya bayan shekaru 45. Sakamakon karuwa a cikin sukari (mafi girma daga 9 mmol / l), ƙwayoyin beta na pancreatic masu alhakin insulin kira suna rage aikin su (abin da ake kira guba na glucose yana faruwa). Gabatarwa da ilimin insulin na iya rage matakan sukari da sauƙaƙa ciwon koda. Cutar cututtukan glucose tana sauyawa, kuma ana ci gaba da yin magani ba tare da insulin ba;
5. Mai rikitarwa na jijiyoyin jiki. A mataki na haɓakar rikice-rikice na jijiyoyin jiki (raunuka daga kodan, tsarin juyayi, gabobin gani, manyan tasoshin), maganin insulin zai iya hana ci gaban su ko hana bayyanar kusan kashi 50-60%;
6. Yanayin mawuyaci a cikin cututtuka masu tsanani. Yayin zazzabi, idan ya cancanta, tiyata, rauni ko jijiyoyin bugun zuciya (bugun jini, bugun zuciya), maganin insulin na wucin gadi yana ba ku damar kula da matakan sukari na yau da kullun don haka taimaka wa jiki ya jimre da mummunan yanayin.

Abin da sukari aka sanya insulin don ɗaukar ciki

Ciki a cikin mai haƙuri da ciwon sukari mellitus ko ciwon sukari (gazawar hormonal wanda ke haifar da juriya na insulin) na iya haifar da yanayin da gyaran abinci da ingantaccen rayuwa ba su kawo sakamakon da ake so ba. Yankin sukari ya kasance mai girma, wanda ke barazanar haɓakar rikice-rikice a cikin yaro da uwa.

Wani nuni don maganin insulin a lokacin daukar ciki na iya karuwa da polyhydramnios da alamun fetopathy a cikin yaro, wanda aka gano yayin bincike na duban dan tayi, wanda ake aiwatarwa a wadannan lokutan masu zuwa:

• Makonni 15-20 - don kawar da rikice-rikicen ci gaban haɓaka;
• Makonni 20-23 - don jarraba zuciyar ɗan da ba a haife shi ba;
• Makonni 28-32 - don gano yiwuwar karkacewa cikin sharuddan ci gaban cikin ciki.

Lokacin da alamun bayyanar cututtukan hyperglycemia suka bayyana, endocrinologist ya tsara ma'aunin sukari na mace mai ciki sau 8 a rana tare da sakamakon da aka yi rikodin. Ya danganta da yanayin lafiyar mutum, ƙa'idar mace mai ciki na iya zama 3.3-6.6 mmol / l.

Yayin cikin ciki, insulin tsakanin magunguna masu rage sukari shine kawai magani wanda aka yarda don amfani.

Tushen nadin allurar insulin na iya zama sakamakon matakan sukari:

• A cikin jinin venous: sama 5 raka'a (a kan komai a ciki), sama da raka'a 6.7. (Awowi 2 bayan cin abinci);
• A cikin jini na jini: sama da raka'a 5.6. (a kan komai a ciki), sama da raka'a 7.3. (Awa 2 bayan cin abinci).

Baya ga matakin sukari, wanda aka ba da shawarar a duba sau 6 zuwa 12 a mako, mata masu juna biyu suna buƙatar saka idanu:

1. Hawan jini
2. Kasancewar acetone a cikin fitsari;
3. Allurai na sarrafawa;
4. Abubuwa na cututtukan jini.

Mace mai ciki yakamata, kafin rubanya maganin insulin:

• A asibiti, sami ƙwarewar kulawa da kai da ilimin da ake buƙata don kula da yanayin su;
• Sami kuɗi don iko da kai ko yin ma'aunai masu mahimmanci a cikin dakin gwaje-gwaje.

Babban aikin insulin farjin a wannan lokacin shine rigakafin yiwuwar rikitarwa. Ko da wane irin cutar, mafi kyawun magani shine a gudanar da gajeren insulin kafin abinci da magani na tsawon lokacin aiki kafin lokacin bacci (don daidaita glycemia da dare).

Rarraba kashi na yau da kullun na insulin yana la'akari da buƙatar maganin: da dare - 1/3, da rana -2/3 na yawan maganin.

Mahimmanci! A cewar kididdigar, a lokacin daukar ciki, nau'in ciwon sukari na 1 shine mafi yawanci, tunda yana haɓaka cikin ƙuruciya da samartaka. Cutar type 2 ta shafi mata bayan shekaru 30 kuma ta fi sauƙi. A wannan yanayin, yuwuwar samun alamun daidaituwa game da abinci, abinci mai rarrafe da matsakaiciyar motsa jiki yana da girma. Cutar sankarar mahaifa tana da wuya.

Wani irin sukari kuke buƙatar allurar insulin

Babu takamaiman darajar darajar jinin sukari wanda aka sanya allura na miyagun ƙwayoyi, saboda ana yin irin wannan shawarar ne bisa dalilai da yawa. Masana ilimin endocrinologist ne kawai zasu iya yin la'akari dasu.

Bayyanar da maganin insulin ba makawa tare da alamun 12 mmol / l bayan rashin sakamako daga amfani da allunan ko tsayayyen abinci. Ba tare da ƙarin nazarin ba (kawai ta hanyar sukari), ana saka insulin a cikin yanayin da ke barazanar lafiyar mai haƙuri ko rayuwa.

Lokacin da mara lafiyar ya fuskanci zaɓi (allurar insulin kuma ci gaba da rayuwa ta al'ada ko ƙi da jira jiran rikice-rikice), kowa zai iya yanke shawara kan abin da ya mallaka.