Ukumelana ne-insulin: kuyini, ukuhlolwa, izimbangela nokwelashwa

-Delile

• Izivivinyo ezisiza ukukhomba
• 1.Ukuhlolwa kokungabekezelelani kwe-glucose yomlomo
• 2. Ukuzila ukudla kweglucose
• 3. Inkomba ye-HOMA
• Izimbangela ezingaba khona zokumelana ne-insulin
• Yelashwa kanjani

Isifo sokumelana ne-insulin senzeka lapho isenzo sale hormone, sokuhambisa i-glucose egazini siyise kumaseli, sinciphile, okwenza ukuthi i-glucose iqoqane egazini, ikhiphe isifo sikashukela.

Ukumelana ne-insulin kuvame ukubangelwa inhlanganisela yamathonya wefa nezinye izifo nemikhuba yomuntu, njengokukhuluphala, ukungasebenzi komzimba nokwanda kwe-cholesterol, ngokwesibonelo. Ukumelana ne-insulin kungatholwa ngokuhlolwa kwegazi okwehlukene, njengokuhlolwa kweglucose egazini, inkomba ye-HOMA noma ukuhlolwa komlomo kokubekezela i-glucose.

Lesi sifo siyisifo esandulela isifo sikashukela, ngoba uma singelashwa futhi silungiswa, ngokulawulwa kokudla, ukunciphisa umzimba nokusebenza komzimba, kungaphenduka uhlobo lwesifo sikashukela sohlobo 2.

Izivivinyo ezisiza ukukhomba

Ukumelana ne-insulin akuvamisile ukudala izimpawu, ngakho-ke kungenziwa ukuhlolwa kwegazi okuhlukile ukuqinisekisa ukuxilongwa:

1.Ukuhlolwa kokungabekezelelani kwe-glucose yomlomo

Lokhu kuhlolwa, okwaziwa nangokuthi kuhlolwa ijika le-glycemic, kwenziwa ngokulinganisa inani le-glucose ngemuva kokufaka cishe u-75 g ketshezi olunoshukela. Ukuhunyushwa kokuhlolwa kungenziwa ngemuva kwamahora ama-2, ngokulandelayo:

• Jwayelekile: ngaphansi kuka-140 mg / dl;
• Ukumelana ne-insulin: phakathi kuka-140 no-199 mg / dl;
• Isifo sikashukela: ilingana noma ngaphezulu kuka-200 mg / dl.

Njengoba ukumelana ne-insulin kuya ngokuya kuba kubi, ngaphezu kokuthi i-glucose iyanda ngemuva kokudla, iyenyuka nokuzila ukudla, ngoba isibindi sizama ukukhokhela ukuswela ushukela ngaphakathi kwamaseli. Ngakho-ke, ukuhlolwa kwe-glucose yokuzila nakho kungenziwa.

Bona imininingwane eminingi ngokuhlolwa kokungabekezelelani kwe-glucose yomlomo.

2. Ukuzila ukudla kweglucose

Lokhu kuhlolwa kwenziwa ngemuva kwamahora angu-8 kuye kwayi-12 okuzila ukudla, bese kuqoqwa isampula yegazi bese lihlolwa elabhorethri. Amanani esithenjwa yile:

• Jwayelekile: ngaphansi kuka-99 mg / dL;
• I-glucose yokuzila eguquliwe: phakathi kuka-100 mg / dL no-125 mg / dL;
• Isifo sikashukela: ilingana noma ngaphezulu kuka-126 mg / dL.

Kulesi sikhathi, amazinga e-glucose asakwazi ukulawulwa, ngoba umzimba uvusa amanyikwe ukuthi akhiqize inani elikhulu kakhulu le-insulin, ukukhokhela ukumelana nesenzo salo.

Bona ukuthi ukuhlolwa kweglucose egazini kwenziwa kanjani nokuthi ungawuqonda kanjani umphumela.

3. Inkomba ye-HOMA

Enye indlela yokuthola ukumelana ne-insulin ukubala inkomba ye-HOMA, okuyisibalo esenziwa ukuhlola ubudlelwano phakathi kwenani likashukela nenani le-insulin egazini.

Amanani ajwayelekile enkomba ye-HOMA, ngokuvamile, ngokulandelayo:

• Inani lesithenjwa le-HOMA-IR: ngaphansi kuka-2.15;
• Inani lesethenjwa le-HOMA-Beta: phakathi kuka-167 no-175.

La manani ayizethenjwa angahluka nge-laboratory, futhi uma umuntu ene-Body Mass Index (BMI) ephezulu kakhulu, ngakho-ke, kufanele ihunyushwe njalo ngudokotela.

Bona ukuthi yenzelwe ini nokuthi ungayibala kanjani inkomba ye-HOMA.

Izimbangela ezingaba khona zokumelana ne-insulin

Lesi sifo, ezimweni eziningi, sivela kubantu asebevele benokuthambekela kofuzo, uma benamanye amalungu omndeni abenesifo sikashukela noma isibonelo.

Kodwa-ke, ingakhula ngisho nakubantu abangenayo le ngozi, ngenxa yemikhuba yokuphila ebeka phambili ekuwohlokeni kwemetabolism, njengokukhuluphala noma ukukhuphuka kwevolumu yesisu, ukudla okunama-carbohydrate amaningi, ukungasebenzi komzimba, umfutho wegazi ophakeme noma ukwanda kwe-cholesterol nama-triglycerides.

Ngaphezu kwalokho, izinguquko ze-hormonal, ikakhulukazi kwabesifazane, zingakhuphula namathuba okuthola ukumelana ne-insulin, njengakwabesifazane abane-polycystic ovary syndrome, noma i-PCOS. Kulaba besifazane, izinguquko eziholela ekungalingani kokuya esikhathini kanye nokwanda kwamahomoni e-androgenic nakho kubangela ukwehla kokusebenza kwe-insulin.

Yelashwa kanjani

Uma ukwelashwa okulungile kwe-insulin ukumelana kwenziwa, kungalapheka futhi ngaleyo ndlela kuvimbele ukukhula kwesifo sikashukela. Ukwelapha lesi simo, kudingeka ukuholwa ngudokotela ojwayelekile noma i-endocrinologist, futhi kuqukethe ukwehlisa isisindo, ukwenza ukudla nokuvivinya umzimba nokuqapha amazinga kashukela egazini, ngokuqapha kwezokwelapha njalo ezinyangeni ezi-3 noma ezi-6. Bona ukuthi ukudla kufanele kube kanjani kulabo abane-pre-diabetes.

Udokotela futhi, ezimweni zokuba sengozini enkulu yesifo sikashukela, anganikeza imishanguzo efana ne-metformin, okuwumuthi osiza ukulawula ukukhiqizwa kweglucose ngesibindi nokwandisa ukuzwela kwe-insulin, ngenxa yokwanda kokusetshenziswa kwe-glucose ngemisipha. Kodwa-ke, uma umuntu eqinile ekwelashweni ngokudla nangokwenza umsebenzi womzimba, ukusetshenziswa kwemithi kungenzeka kungadingeki.