Edere insulin maka ọrịa shuga dịka ụzọ isi belata shuga dị elu. Hyperglycemia bụ isi ihe na-egosi ọrịa shuga na isi ihe kpatara nsogbu siri ike ma na-egbu egbu.
Site na ụdị ọrịa shuga shuga 1, insulin bụ naanị ụzọ iji belata shuga, yana ụdị shuga 2, a chọkwara ebumnuche ya n'ọnọdụ ụfọdụ (ịtụrụ ime, ịwa ahụ, decompensation ọrịa shuga).
Ndị ọrịa mamịrị niile edepụtara ka insulin chọrọ ozi banyere ma ọ ga-ekwe omume ịpụ insulin, ebe ọ bụ na inje ugboro ugboro na-agbasi mbọ ike na ndụ mmekọrịta ma na-amachibido mmịnye nri na ịdebe usoro ndị a na-emebu.
Ọrụ nke insulin na ahụ
Insulin n’ime ahụ na-emetụta ụdị metabolism niile. Ma na mbu ya banyere metabolism nke carbohydrates. Ọrụ bụ isi nke insulin bụ mbufe glucose na sel site na akpụkpọ ahụ. Akwara na adipose anụ ahụ, nke anụ ahụ mejupụtara ihe dịka 68% nke ahụ dum, na-adabere na insulin.
Ntughari, mmeghari ọbara na mmegharị ahụ na-adabere na ọrụ nke anụ ahụ akwara, anụ ahụ adipose na-echekwa ike n'ime ahụ. N’inweghi mmeputa insulin, ihe nile di n’iru na-ata ahuhu, ihe ndi mmadu kacha elebara anya bu uburu ha na obi ha. Site na enweghi glucose ala na - adịghị ala ala, usoro ọnwụ mkpụrụ ndụ na - agbanweghi agbanwe.
Ikike iwetulata glucose dị n'ahụ bụ naanị insulin. A na-eji usoro ndị a etinyere ihe a:
- A na - eme ka nnabata nke glucose na ihe ndị ọzọ site na sel.
- Ọrụ nke enzymes na-emebi glucose na mwepụta nke ike (n'ụdị nke ATP) na-abawanye.
- Nchịkọta Glycogen sitere na glucose na-abawanye, nke a na-edobe ya na akwara na akwara (dị ka ebe nchekwa).
- Isbelata glucose n’imeju.
Nsonaazụ nke insulin na metabolism bụ iji mee ka nnabata nke amino acid, potassium, magnesium na phosphate nwee ike, mee ka ihe si na DNA pụta. Insulin na –ebelata nkụpu protein.
Insulin na-edozi metabolism nke abụba site n'ịtụgharị glucose na triglycerides ma belata mbibi abụba. Nke ahụ bụ, insulin na-enyere aka ịchekwa abụba.
Mgbe ị risịrị nri, ọkwa glucose ọbara na-ebili, na nzaghachi na nke a, pancreas na-ewepụta insulin. Mgbe glucose daa n’ọnọdụ nkịtị, mwepụta nke insulin site na sel beta na-eji nwayọ nwayọ, mana ọ naghị akwụsị. Homonụ nke mgbochi - glucagon, adrenaline na homonụ ndị ọzọ na-akpata nchekasị na-amalite banye n'ọbara, mgbe nke a gasịrị, ogo glucose na-ebili.
N'ime ụdị shuga 1, akwara na-efunahụ ike ya imepụta insulin. Nke a bụ n'ihi mbibi nke mkpụrụ ndụ beta site na usoro autoimmune, ikpughe nje ma ọ bụ nsogbu mkpụrụ ndụ.
Na enweghị insulin, ọkwa glucose na-abawanye ngwa ngwa. Usingjụ insulin nwere ike ibute coma na ọnwụ.
Seconddị nke abụọ nke ọrịa shuga na-amalite nwayọ nwayọ karịa ụdị 1, yana enwere ike imepụta insulin na nkịtị ma ọ bụ karịa ụba, mana ndị na - anabata insulin nke sel anaghị anabata ya, glucose enweghị ike ịgafe akpụkpọ ahụ ma nọgide na ọbara.
Mmụba nke glucose na ụdị 1 na ụdị shuga na-emerụ arịa ọbara, na-akpata nsogbu n'ụdị:
- Angiopathy na-arịa ọrịa shuga
- Neuropathies nwere usoro ọnya na - adịghị agwọ ọrịa (ụkwụ nke ọrịa mamịrị).
- Imebi akụrụ - nephropathy.
- Ogbu na nkwonkwo.
- Retinapathy nke anya bu dibia mamiri.
- Encephalopathy
- Ọgụ adaghị.
Ndị ọrịa shuga na-efekarị ọrịa na-efe efe na fungal, nke, na-ezughị ụgwọ ụgwọ, siri ike, yana nsogbu.
Enwekwara uche nwetagobe na ọgwụ nje na ọgwụ antifungal.
Debe na iwepu insulin na ndi ọrịa shuga
Diabetesdị nke shuga 1 bụ ihe ngosipụta zuru oke maka ọgwụgwọ insulin. N'ọnọdụ ndị dị otú a, nke a bụ naanị ọgwụ nwere ike iwepu mmetụta na-egbu egbu nke glucose ọbara dị elu. Inje insulin insulin na-agwọ ọrịa enweghị ike ịgwọ ọrịa a;
“Wụpụ insulin” na-arịa ụdị shuga 1 agaghị ekwe omume. Ọ bụrụ n’ịgbaso usoro nri ma soro ndụmọdụ maka mmega ahụ ana-eme, ịnwere ike nweta mbelata nke ị na -efe. Ajuju ajuju - enwere ike iju insulin mgbe ị na - eme ka odi nma ma na - wedata ogo glucose, endocrinologists nyere azịza doro anya.
Ikwesiri igba insulin ka o wee di ka mmanu nke homonu nke sitere na ya. Dị ka ọ na-adịkarị, a na-emepụta insulin kwa mgbe (obere basal mmiri) nke ihe dịka 1 nkeji kwa elekere. N'oge nri, a na-ahapụ 1 insulin insulin maka carbohydrates 10 ọ bụla. Yabụ, otu ọgwụ insulin nwere ike ọ gaghị ejigide ọkwa glucose na ọbara oge niile.
Emeela insulins na-arụ ọrụ ogologo oge, Lantus na Levemir, etinyere ha ọgwụ otu oge, mana na omume ọ siri ike ikpebi ọnụọgụ ahụ ga-arụ ọrụ maka otu ụbọchị n'ime usoro enyere, yabụ ojiji a na-ejikọkarị ya na hypoglycemia. Ka a na-emekwu insulin ugboro ugboro, ọ na-eme ka ịhapụ homonụ nke anụ ahụ nkịtị.
Enwere ike ịnweta nkwenye maka nhọrọ oge nkwado insulin na oge nchịkwa naanị site na endocrinologist mgbe ị na-atụle profaịlụ glycemic nke onye ọrịa. Na mgbakwunye, afọ, larịị nke mmega ahụ yana ọrịa ndị ọzọ metụtara.
N'ime ụdị shuga 2, enwere ike ịchọ mgbanwe insulin na ọnọdụ insulin n'ọnọdụ ndị a:
- Ime
- Myocardial infarction.
- Ischemic ma ọ bụ hemorrhagic ọrịa strok nke ụbụrụ.
- Iri ibu na-agbanye n’ibe ya na nri nri.
- Ketoacidosis.
- Gerywa Ahụ Ahụ.
- Ọrịa na-efe efe siri ike (enwere ike ịrịa ọrịa purulent na septik).
- Ọrịa shuga na-agbakọta.
Ọ bụrụ na -arịa ọrịa shuga, ọkwa glucose ọnụ na-ebu ọnụ karịrị 7.85 mmol / L nwere oke anụ ahụ nkịtị, ma ọ bụ karịa 15 mmol / L nwere ogo ọ bụla; A na-ebelata protein C-reactive mgbe a nwalere ya na glucagon, haemoglobin glycosylated nke dị elu karịa 9% bụ ihe akaebe nke ọrịa shuga na-enweghị nchịkwa.
Ọ bụrụ na onye ọrịa ahụ anabata ọgwụ a gwara ya, na-agbaso nri ma na-edozigharị usoro mmega ahụ akwadoro, na-enweghị ike belata ọkwa glucose, mgbe ahụ enwere ike ịkọ ọgwụ insulin.
N'ọnọdụ ndị dị otú a, ọ ga - ekwe omume iwepụ ndabere nke insulin ma ọ bụrụ na ọ ga - ekwe omume ime ka metabolism metabolism dị ike. Nyocha ọbara maka haemoglobin glycated n'ime ọnwa isii kwesịrị igosi mbelata nke ọkwa akwadoro.
A au nwa nwere ike ibute mmeghari onodu ahuru nri n’aru ndi nwanyi n’eji abanye insulin n’oge di ime. Ya mere, mgbe amuchara nwa, ha nwere ike jiri nwayọ wezuga insulin wee laghachi na mbadamba shuga.
Ihe dị na mwepu insulin
Zere insulin n'ụdị ọrịa shuga nke abụọ ma ọ bụrụ na naanị ihe ngosi nke decompensation abawanye na haemoglobin glycated na-arịa shuga. N'ime ọnwa 6, ịkwesịrị ikwugharị ọmụmụ ahụ ugboro abụọ, ọ bụrụ na mbelata karịa 1.5%, mgbe ahụ ị nwere ike jụ injections wee were ọgwụ.
Amachibidoro ya kpamkpam iwepụ insulin injections na-enweghị nkwenye dọkịta, nke a nwere ike iduga mmepe nke coma mamịrị. Ighaghachi mbadamba ụrọ ndị mbụ dị na ụdị mbadamba ga-ekwe omume naanị na iji nwayọ belata insulin insulin.
Ọ bụrụ na ọ gaghị ekwe omume ịkwụsị ị takingụ ọgwụ edepụtara kpamkpam, mgbe ahụ enwere ohere belata ọgwụ ya. Iji mee nke a, ịkwesịrị idozi nri ka ngwaahịa ndị dị na ya ghara ibute glucose na ọbara (shuga na ngwaahịa niile nwere ọdịnaya ya, mkpụrụ osisi dị ụtọ, mmanụ a honeyụ, ngwaahịa ntụ ọka, nri abụba, karịsịa anụ).
Ọ dị mkpa ịchịkwa ọ bụghị naanị ihe mejupụtara ya, kamakwa olu nke nri. Intanọgide na-a drinkingụchi usoro ị drinkingụ mmanya - opekata mpe 1.5 lita kwa ụbọchị mmiri.
Na mgbakwunye, usoro ụgbọ ala bụ iwu - ya bụ ịga ije, mmegharị ahụ, igwu mmiri ma ọ bụ yoga maka ndị ọrịa mamịrị. Ọ dị mkpa iji opekata mpe ahụ ọ dịkarịa ala, nkeji 150 dị n'izu. Ikwesiri ikwado mmega iku ume na usoro izu ike. Usoro usoro a dum na-ebelata mkpa ịchọrọ insulin. Vidio dị n’isiokwu a na-ekwu banyere ọrụ insulin na-arịa ọrịa shuga.
