He aha ka kūlohelohe o insulin: nā hōʻailona, nā kumu, mālama

ʻO ka paleʻana a i ka hoʻokalakupua - kahi hanana maʻamau. Wahi a nā haʻawina, pili i ka 21% o ka heluna o nā kānaka i loko o ʻEulopa, a ʻo 34% i USA. I ka pilikia o nā ʻōpio a me nā poʻe ma luna o 50, a ʻoi loa ka paʻakikī o ke kino. He aha kēia maʻi me kona pilikia?

Ke hoʻokaʻawale nei i ka huaʻōlelo

Aia ka insulin me ka kō koko, he mea nui ia no ka hana piha o nā ʻōnaehana a me nā kinona. ʻO ke kūlohelohe o ka insulin he mea ia i ʻole ka maikaʻi o ke kino i kāna mau hana, ʻo ia ke kumu e piʻi nui ʻia ai ka nui o ka glucose.

I kēia mea, hana ka pancreas i ka hormone peptide ʻoi hou aku, no ka mea ʻo ia ke kumu e pale i ke kiʻekiʻe o ka puna mai ka hoʻonui aku i ka pākeke. Pono ʻo ia e hana "ma nā manawa ʻelua a i ʻole nā lā i hala."

Eia kekahi, aia kekahi pilikia - loaʻa nā selona i ka pale ʻana i ka insulin, no laila e hoʻōla ana kona hopena i ka liʻiliʻi. ʻO ka paleʻana i ka insulin e lilo i ke kūlana physiological e alakaʻi i ka hyperglycemia koʻikoʻi a me ka maʻi mellitus.

Wikiō: Ka manaʻo o ke kū'ē o ka insulin, me nā hōʻailona hoʻi, nā hōʻailona a me ka mālama

Hoʻomaka ka maʻi hoʻomaka ʻana. Hōʻalo ka ʻeha, luhi, hoʻoweliweli a ʻano ʻino paha, a me nā manaʻo ʻē aʻe e like me ke ʻano o nā pilikia olakino, akā aia ke ʻano o ke “alarm”, e hōʻike ana i kekahi mea hewa i ke kino.

ʻO ka hōʻailona maʻamau o ka kū ʻana i ka insulin ka:

ho'ēmi i ka hana noʻonoʻo,
manaʻo ʻino
pololi mau
koko koko kiʻekiʻe
uhū, hui i ka pilikia gastrointestinal hou,
koko kiʻekiʻe a me nā triglycerides.

I nā hiʻohiʻona koʻikoʻi, hōʻike ka pale kūʻokoʻa ma ke ʻano o ka acanthosis - nā ʻalā pōpoki ʻeleʻele ma nā kuʻekuʻe, nā kuli, nā ʻolima, a i kekahi manawa ke kua o ke poʻo. Hōʻike ka Acanthosis ua ulu ke maʻi i loko o ka maʻiʻeha.

Hiki i ka mea maʻi ke nānā i ka hōʻike o nā hōʻailona ma luna nei, ʻo ia hoʻi ka pigmentation ma ka ʻili, no ʻelua mau makahiki ʻelua. Akā inā ʻaʻole ʻoe e mālama i ka pilikia ma mua, hoʻomau i ke alakaʻi ʻana i ke ʻano ola ʻole o ke ʻano, ʻo nā ʻōpiopio e make ai ka make.

Naʻi hoʻolika

He mea aneane hiki ʻole ke hoʻāʻo i ka metabolic syndrome i nā mua mua. Hōʻike kekahi hōʻike i kekahi mea wale nō ke kiʻekiʻe o ka kiʻekiʻe o ka insulin i ke koko. Akā he mea kūpono kēia no ka maʻi, e ʻike koke ʻia e kahi kauka loea.

ʻO ka ʻoi loa ka hopena diagnostic ʻo ke hoʻoponopono clamp, ka mea i kapa inoa ʻia ʻo NOMA. Kōkua ia i ka helu ʻana i ka mākeke pale o ka insulin, e ʻae ʻia me ka koho ʻana o 97.9% e ʻōlelo inā he maʻi ka mea maʻi. No ka hoʻoponopono ʻana i ka hopena, hāʻawi ʻia kahi hōʻike hoʻohālikelike i ʻekolu mau lā i ka lālani.

ʻAʻole ka mea liʻiliʻi loa he hōʻike glucose no ka kō koko koko. Lawe ʻia ia i mua o ka hoʻoholo ʻana o ka kuhikuhi NOMA a hana ʻia ma kahi ʻōpū ʻole, e like me nā loiloi āpau. Ma hope wale nō o ka loaʻa ʻana o ka ʻikepili hope loa mai ka hana ʻoihana, kuhikuhi ke kauka i ka mālama ʻana.

Ke ho'āʻo nei nā kauka i ke ao holoʻokoʻa e pane i kahi pane i kekahi o nā nīnau nui i nā poʻe maʻi: "He aha nā kumu o ka kū aʻe o ke kūʻē o ka insulin?"

I kēia manawa, ua ʻike ʻia nā kumu he nui e pane iki ai nā ʻokoʻa i nā insulin. E pili ana kēia:

Nā ʻano hemahema e kū mai ma muli o ka nui o ka hoʻomohala ʻana o ke kino o ke keiki a hiki i loko o ka ʻōpū. ʻO kekahi mau syndromes e hiki ke hoʻomaopopo ʻia i ka wā hāpai a hoʻoholo pū i ke kū ʻana o ke kūleʻa o ke pēpē.
Nā ʻōnaehana system immune e hele mai ai nā antibodies e pale i nā ʻenehana insulin. ʻO ke aʻoʻana o kā lākou hana i aʻo ʻole ʻia.
ʻO kekahi maʻi a me nā ʻoi endocrine, hana i kahi nui o nā hormones, antagonist o ka insulin, e like me GH (ka ulu nui o ka hormone), cortisol, glucocorticoid.
ʻAʻole kūpono keʻai a me ka momona. Ma waena o ka poʻe lese, ʻo ka hopena o ka metabolic syndrome he 40% kiʻekiʻe ma mua o ka poʻe i ʻole e loaʻa i ka momona nui.
ʻO ke ola kūpono, me ka ʻole o ka hoʻōla ʻana, hana ʻole, hana paʻa ʻole.

Ua ʻōlelo nā poʻe hōʻike, ua hoʻopilikia ʻia ka kū ʻana o ka insulin e ka hoʻohana ʻana i nā lāʻau lapaʻau me corticosteroids a i ʻole ka ulu ʻana i nā hormone ulu, hōʻino ka hana ʻino. ʻO ke kinipili ʻo Metabola kekahi mau manawa e kū mai i ka mua o nā pilikia me ka hana o nā ʻōnaehana cardiovascular a i ʻole endocrine, i mea kekahi o ka hōʻailona o nā maʻi koʻikoʻi.

Eia ka pōʻino

He aha nā hopena o ka kūʻē o ka insulin? Pono paha wau e kani i ka uahi inā ʻike wau i ka maʻi maʻi i kahi moʻo lapaʻau? I kekahi hihia, ʻaʻole he hopena maikaʻi loa ka panic. Akā hiki ke pilikia ka metabolic syndrome a koi aku i ka mālama koke.

Ke alakaʻi neiʻo ia i ka hanaʻole i ka hana o nā ʻōnaehana āpau a me nā kino o ke kino, akā ʻo ka hapanui ma luna o nā ʻōhua a me nā kaila e kaʻi ana. Hōʻike nā haʻawina i ka maʻi ke alakaʻi i ka sclerocystosis o nā ovaries, ka hemahema, ka hiki ʻole ke ʻike i kahi orgasm i nā wahine.

Ke hoʻonāukiuki ka hoʻonāukiuki i ka maʻi a Alzheimer a me nā pilikia ʻē aʻe. I ke kaumaha nui, pilikia maoli ka maʻi metabolic a hiki ke alakaʻi i ka hoʻomohala ʻana o ka atherosclerosis, a ma hope hoʻi i ka hōʻeha ʻana o ka puʻuwai, ʻeha, a me nā pilikia he nui e pili ana i ka coagulation koko maikaʻi.

ʻO ka mea nui e hōʻike ai i kēia maʻi ʻo ka hopu ʻana o ka maʻi diabetes mellitus type 2, kahi hiki ʻole ke ola me ka wailua ʻana o ka insulin a me ka ʻai ikaika. ʻO ka mea i hana ʻia ma ka manawa inake hiki ke make i ka make. ʻO ia ke kumu hiki ʻole iā ʻoe e hōʻole i ke ʻano o ka maʻi a i hoʻopaleola i kāna mālama ʻana no ka wā ma hope.

He hoʻomaʻemaʻe a me ke pale aku

He paʻakikī nā pale a me ka mālama ʻana i ka kūleʻa o ka insulin. ʻAʻole lawa ke hoʻololi wale i ke ala o ke ola, hoʻomaka i ka ʻai ʻana a i ʻole ke lawe ʻana i nā lāʻau lapaʻau - pono pau kēia mea āpau i ka manawa like.

ʻO ka mea mua, ke kuhikuhi nei ka mālama ʻana i ke hoʻouka ʻana i ke kaumaha nui, ʻo ia ka mea nui i ka hoʻokalakupua o ka metabolic. No kēia, hoʻonui ʻia nā hana kino o kēlā me kēia lā a hoʻokumu ʻia kahi meaʻai kūikawā me ka liʻiliʻi o ka nui o nā ʻoli. He mea like ia i hiki ke wehe i nā nika a me nā waiʻona, e pale ai i ka pae metabolic o nā pika a me nā hoʻokahe glucose.

ʻO ka poʻe e hōʻeha nei ma ka metabolic syndrome e kuhikuhi ʻia i kahi meaʻai, he pilina nui ia i loko o ka kaulahao mālama. He mea kūpono ke hāʻawi i ka makemake i nā huahana me kahi kuhikuhi glycemic haʻahaʻa, a laila e lūlū lākou e hoʻolōʻihi i ka nui o ke kō koko koko, e hoʻopau ana i ka naʻau o ka pōloli no ka manawa lōʻihi.

Pono e hoʻokomo i kēia mau meaʻai i ka meaʻai:

hua
nā mea kanu
greens
ʻōpala āpau
kiniani
bean
skim dairy huahana,
iʻa haʻahaʻa a haʻahaʻa.

No kahi meaʻai kaulike, ʻo ka meaʻai e hoʻopihapiha i nā mea momona a me nā minamina a me nā minela e pili ana i ka momona o ka ʻai ʻana me ka digestible. Hiki iā ʻoe ke inu i nā decoctions kūlohelohe, nā mea e kōkua ʻole ai maikaʻi ʻole ma mua o nā lāʻau lapaʻau, akā ʻaʻohe hopena like ʻole. No ka laʻana, infusions e pili ana i ka blueberries a me kahi pā birch.

Mai ka papa hana pono e hoʻopau i nā huahana hōʻeha:

hona a me nā mea āpau momona
ʻawa maikaʻi, ka ʻawa paʻakai,
ʻona
ʻala
berena, pasta,
nā meaʻai momona
nā meaʻai momona kalona
ʻuala, kāloti,
meaʻai mai nā meaʻai wikiwiki.

He mea nui e palena i ka nui o ka momona. ʻAʻole pono lākou i kā lākou hana maʻamau i kēlā me kēia lā 10% o nā meaʻai a pau. ʻO nā momona, ʻo ka huahana i papa inoa e hoʻopilikia maikaʻi i ke olakino a hoʻoili i kahi nui o ka glucose koko, he hoʻoweliweli kēia i ka poʻe me ka metabolic syndrome.

Nā lāʻau lapaʻau

I nā pilikia paʻakikī, ʻōlelo ʻia nā lāʻau lapaʻau e hakakā i ke kōhi koko kiʻekiʻe, hoʻohaʻahaʻa i ka cholesterol, a me ka hoʻomaʻamaʻa koko.

No kēia hana, ua hoʻohana ʻia kekahi mau papa o nā lāʻau lapaʻau:

diuretics thiazide e kuhikuhi ana i ka hoʻemi ʻana i ka mānoanoa o nā paia o nā kīʻaha koko,
nā biguanides, kahi i kapa ʻia ʻo Metformin, i hoʻohana ʻia no ka momona.
ʻO nā hale lapaʻau, i hoʻohana ʻia e hoʻohaʻahaʻa i ke kōpaʻa koko ma hope o ka ʻai ʻana.
sulfonylureas, hoʻonui i ka ʻike ʻana o nā ʻoli i ka insulin.

Kuhi ʻia nā mea hope loa i nā hanana kūʻokoʻa loa, ke koi ʻia ka mālama ʻana ma nā pilikia maikaʻi. ʻO kēia ma muli o ka loaʻaʻana o ka sulfonylureas i ka loli i ka pae o nā protein plasma, he hopena maikaʻi loa ia.

ʻO ka paleʻana i ka insulin he maʻi e pili ana i ka hoʻonui ʻana i ke kōhi koko a me ke ʻano hewa ʻole o ke kino i ka insulin i hana ʻia. Ke alakaʻi nei ka maʻi i nā hoʻopiʻi like ʻole, ʻo ka mea ʻino loa ka maʻi mellitus o ka maʻi lua.

Ke kū'ē i ka insulin - ka hana no ka pale ʻana i ka insulin

ʻO ke kūlohelohe o ka insulin, he mea ia e pane ʻole ai nā ʻāpana o ke kino i ka insulin hormone, a no laila ʻaʻole hiki ke komo i ke kō, no laila ke koho ʻana i kekahi mau meaʻai a me ka wehe ʻana aʻe i kekahi o ke kumu nui e hoʻoponopono ai i ka metabolism glucose.

He aha ke kū'ē i ka insulin

ʻO ka huaʻōlelo ʻo ia e kū i ka insulin ka hiki ʻole o nā ʻōpū o ke kino i pane ai i ka insulin hormone. ^ E Ha yM. ʻO ka hiki ʻole o nā pūlima e nakinaki i ka hormone a, no laila, pane i kāna hōʻailona e alakaʻi i ka ʻike ʻole i ka maikaʻi o ka glucose i nā ʻāpono.

Ke alakaʻi nei kēia hoʻonui i nā glucose koko a, ma ka manawa like, piʻi ka pae hui kokono ka mea ʻaʻole hiki ke hoʻohana pono i ka hormone.

He aha ke ʻano o kēia kūlana?

Nā kumu: ʻoi aku ka huna ʻana i ka insulin a i ʻole ka ira

Hoʻopili i nā hoʻonā wai pili pili i ka hana ʻana i ka insulin mai nā papa beta o ka pancreas. Loaʻa i nā sela o ko mākou kino ke loaʻa i ka insulin receptors e kū ana i nā membrane cell, kahi e ʻae ai mākou i ka hoʻōla i ka ʻenehana o ka halihali a me ka hoʻoliʻiliʻi o ka honu e nā puna.

Eia nō naʻe, i kekahi mau hihia, ʻaʻole hiki i nā papa ke pane i ka insulin.

ʻO ka hana hana i ka insulin nui: i ka wā nui ka hana o ka insulin mai ka pancreas ma muli o nā kumu like ʻole, no ka laʻana, he ʻano mau o ka nui o ke kō o ka toto e hoʻolaʻa ʻole ʻia.
Mea huakaʻi genetic: i ka wā ʻo nā mea nānā aku ma ke alo o kahi kelepona he nui a me ka luku ʻia e nā antibodies.

Pae A i ole type B e pale kū i

ʻOiai ke kū kaʻe ʻana o ka insulin i ka hopena hoʻokahi, i.e. ka hana ʻole o nā pū e pane ai i ka insulin, hiki i nā mea like ʻole ʻelua:

Kuhi i kahi ke kū i ka insulin: nā mea maʻamau, e pili pū ana me nā maʻi e like me ka metabolic syndrome, type 2 diabetes a me polycystic ovary.
ʻO ke kūpaʻa Type B ka maʻamau: kahi ʻano maʻamau o ka maʻi, no ke ʻano pale. ʻO kahi hiʻohiʻona o ka hele ʻana o nā antibodies e kū'ē i nā receptors insulin.

He aha nā palena i loko o ka waiwai o ka insulin i loko o nā palena maʻamau?

ʻO nā hōʻike a me nā loiloi loiloi no ka maʻi maʻi

ʻO ke pae koko koko maʻamau he 6-29 μl / ml. Hoʻomaka ʻia ka Diagnosis o ka pale ʻana i ka insulin me ka hoʻohana ʻana i nā ʻano loiloi like ʻole, ʻo ka ʻenekia a me nā hoʻopaʻa haʻawina paha.

E like me nā haʻawina hoʻokolohua, ʻo nā manaʻo kikoʻī no ka pale ʻana i ka insulin:

ʻO ka hoʻokolohua Hyperinsulinemic-euglycemic: hiki iā ʻoe ke koho i ka nui o ka glucose e pono ai e uku no ka hoʻonui ʻana i ka insulin me ka ʻole o ka hypoglycemia.
ʻO ka hoʻokaʻawale ʻana a Insulin: hōʻike ʻia kahi hoʻokolohua lapaʻau ma o kahi hoʻokolohua kūikawā.

ʻOiai he kūpono kēia mau kaʻina, ʻike paʻakikī loa e hoʻohana no nā kumu maʻi, ua hoʻohana ʻia lākou no nā kumu ʻepekema.

Ma nā hana lapaʻau i kēlā me kēia lā, ma kahi, ua hoʻohana ʻia nā ʻano ʻoi aʻe:

ʻO ka nānā ʻana i nā mea maʻi: nā maʻi me ka momona a i ʻole kahi ʻūhā e hiki ke ʻoi aku i ka maʻamau ka maʻamau o ka pale ʻana i ka insulin.
ʻO ka hōʻike ukana waha: lawe ʻia ma ke ana ʻana i ka neʻe o ka glucose i ke koko ma ka ʻōpū ʻole a ma hope o ka lawe ʻana o 75 g o glucose i loko.
ʻĀwili Insulin: e ana i ka nui o nā hē i loko o ka ʻikepili insulin, ma ka ʻōpū ʻole a ma hope o ka ʻai ʻana. Hoʻāʻohi pinepine ʻia ia me ka ʻūhā waha ukala waha.
HOMA Index: kahi palena kumu nui no ka loiloi ʻana i ka pale ʻana i ka insulin ʻo ka HOMA (Hōʻike Hōʻike Homeostasis Model).

ʻO nā mea hiki ke kumu e hoʻonui i ke kū'ē i ka insulin

He ʻokoʻa nā kumu o ka pale ʻana o ka insulin, akā e alakaʻi mau i ka hiki ʻole o nā pūleau e pane i ka insulin hormone:

ʻO ka kaiʻai a me ka nohona: ke kīkino, ka mea e loaʻa ai ka nui o nā meli māmā, nā ʻaleʻa a me nā mea momona momona, a ke ʻano hana hoʻomehana a me ka pau ʻole o ka hoʻomaʻamaʻa nā hanana i koho ʻia i ka hoʻomohala ʻana i ka metabolic syndrome, obesity a me ka pale ʻana i ka insulin.
Genetics: i kekahi mau hihia, aia nā hewa genetic i nā mea i hopu ʻia ka insulin, ka hopena, ʻaʻole i hana pono. ʻO kekahi mau maʻi pediatric, e like me Donohue syndrome a me Rabson-Mendenhall syndrome, kahi e hoʻoholo ai i ka kūleʻa o ka insulin i nā keiki, hiki ke hōʻike ʻia i kahi hoʻohālike.
ʻO ka immunology: nā mākaʻi o ka ʻōnaehana pale e hoʻokau nei i ka hoʻokumu ʻana o nā antibodies e hana nei e kūʻē i ka receptor insulin. I kēia lā, ʻaʻole maopopo loa kēia mau ʻano hana, akā ke alakaʻi nei lākou i ke ʻano kū'ē o ka insulin B.
Nā Hormones: ke kāhea ʻia nei kekahi mau pilikia endocrine, e like me ka Cache's syndrome a i ka acromegaly, e hoʻoholo i ka hoʻomohala ʻana o ka kūʻē o ka insulin, no ka mea he nui loa nā hormon e like me GH (ka ulu ʻana o ka hormone), cortisol a me nā glucocorticoids, kahi mau antagonist insulin.
Nā Tumors: ʻO kekahi mau ʻoi, e like me ka pheochromocytoma a me ka glucagon, e hoʻoholo i ka hana o nā nui o nā hormones antagonist.
Ke ʻano o nā lāʻau lapaʻau: ʻO ka hoʻohana ʻana o corticosteroids a i nā ulu ulu ʻana (GH) hiki ke alakaʻi i ka kūʻē o ka insulin.

Pono e hoʻomanaʻo ʻia he mau maʻi hiki ke kumu a, ma ka manawa like, he hopena o ka kūʻē o ka insulin, e like me kā mākou e ʻike ai ma ka māhele aʻe.

Nā hōʻailona hōʻailona me ka pale ʻana i ka insulin

ʻO ke ʻano nui o ka pale ʻana i ka insulin hoʻonui i ka glucose koko, i.e. ʻo ka hyperglycemia a me ka hoʻonui ʻana o ke koko o ka insulin (hyperinsulinemia), kahi e pili ai i nā hōʻailona e like me ka luhi, ka hiamoe, a me ka nāwaliwali ākea.

Eia nō naʻe, aia kekahi mau ʻano ʻē aʻe e superimped ana i nā hopena, a i kekahi manawa ke kumu o kēia pilikia, e uhi ana i nā hui āpau a me nā ʻōnaehana, i nā kikoʻī.

Mai ka ʻōnaehana hana ʻana: kahi kūlana o ka pale ʻana i ka insulin e alakaʻi i kahi kūlana o ka hyperandrogenism, ʻo ia hoʻi, he nui o ka nui o nā kāne kāne i ka wahine. Hiki i kēia ke alakaʻi i ka infertility, amenorrhea, a me nā maʻi like e like me ka polycystic ovary syndrome. Inā kū i ka insulin i ka wā o ka hapai, hiki ke loaʻa ka male ʻana, ʻoi aku hoʻi i nā mahina mua o ka hānau ʻana. ʻO ka menopause, he hopena pili i ka hoʻomohala o ka metabolic syndrome, hiki ke alakaʻi i ka kū'ē o ka insulin, me ka mea he hoʻololi i ka metabolism ma muli o ka nele o ka estrogen.
ʻO nā mea momona momona metabolism: ʻo ka pale kūʻana o ka insulin e hoʻonā i nā loli i ka hana o ka momona o nā momona momona.I ka nui, holo ka nui o nā huikua momona manuahi i ke kino, e hele mai ana mai ka nui o ka glucose i loko o ke koko. Hoʻoholo kēia i nā hopena like ʻole ma ka pae o ka kiko adipose: ʻo ka hōʻiliʻili o ka momona momona e alakaʻi i ka loaʻa o ka momona a me ka hoʻoneʻeʻana o ka momona i ka ʻōpū o ka ʻōpū, ka huakaʻi o ka ate, a ma ka pae o ka hāhi e hoʻonui ai i ka hiki ke hoʻomohala ʻana i ka atherosclerosis.
Pūnaehana Cardiovascular: Hiki i ke kūlohelohe hiki ke hōʻeha i nā pilikia cardiovascular, e like me ka hoʻonui ʻana o ke koko i kumu ʻia e ka piʻi ʻana o ka sodium noho ʻana ma ka hyperinsulinemia, ka hoʻohālikelike ʻana i nā pōkole momona i nā lāʻau e hōʻemi i ke kahe o ke koko i ka puʻuwai.
Nā ʻeha o nā ʻili: ʻO kekahi o nā hiʻohiʻona o ka pale ʻana i ka insulin o ka hoʻomohala ʻana i nā ʻōiwi o ka ʻili i kapa ʻia ka acanthosis, e hōʻāwili i ka ʻili o ka ʻili, e lilo i wahiʻeleʻele a me nā mānoanoa. Eia nō naʻe, ʻaʻole maopopo ka ʻano o ke kamaʻilio ʻana me ka pale ʻana i ka insulin.
ʻO ka maʻi diabetes mellitus type 2: ka hopena maʻamau loa. Ua hōʻike ʻia ʻo ia iho e like me nā hōʻailona maʻamau o ka maʻi maʻi, e like me ka make nui o ka make ʻana, ka hoʻohaʻaka pinepine ʻana, nā luhi, nā haunaele.
ʻO nā hopena ʻē aʻe: Ma waena o nā hopena o ke kū'ē i ka insulin, ka hiʻohiʻona o ka huehue, ka mea pili me ka polycystic ovary syndrome a me ka hyperandrogenism, ka nalowale o ka lauoho, pili pū kekahi me ka hoʻonui i ka hana o androgens.

Hoʻolohe Hiki ke pili aku i ka kūlohelohe me nā maʻi ʻē aʻe, ʻoiai ʻaʻole ia he hopena kumu. No ka laʻana, ua pili pinepine ka pale ʻana i ka lā nui me ka huelo a me nā maʻi thyroid, e like me ka hypothyroidism, ka mea e hoʻolōʻihi i ka metabolism a hoʻonui i ka manaʻo e hōʻemi i ka momona, a pili pū hoʻi ka pale kūʻē o ka insulin me ka hiki ʻole o ka pale a me ka atherosclerosis.

Pehea e kū hou ai ka pale ʻana i ka insulin?

ʻO ka kū'ē o ka insulin, ka mea e hoʻopili ʻia ai e ka meaʻai, nā mea kanu, a i ʻole ke hōʻemi ʻana i ka hormonal, e mālama ʻia me nā mea kanu maoli e kū pono ana i ka lāʻau a me ka lāʻau e kōkua ai i ka hoʻoulu ʻia ʻana o kēia ʻanoʻino.

I mea e ʻike ai i ka hopena o ka kū ʻana o ka insulin, pono ʻoe e ʻimi i ke kauka e hoʻomaikaʻi i ka lāʻau i kūpono, ʻo ia ke kumu o ka pilikia. A ke hāʻawi aku nei mākou iā ʻoe i kāu ʻōlelo!

Hōʻalo i ka paleʻana i ka insulin: ka papaʻai a me ka hana

ʻO kaʻai maʻamau ka mea nui i nā hana nui no ka poʻe e ʻeha i ka pale ʻana i ka insulin e pili ana i ka metabolic syndrome. I ka ʻoiaʻiʻo, ʻo nā kīʻaha mānoanoa ʻole a me nā mea kau e pili ana i ka momona a me ka obesity ka kumu mua o ke kūʻē o ka insulin.

No laila, he mea nui ka luhi o ka paona no ka ho'ōla. No laila, aia kekahi mau huahana i makemake ʻia a me nā mea ʻē aʻe e pono ke pale ʻia.

Nā meaʻai i makemake ʻia: ʻO nā meaʻai me kahi haʻahaʻa glycemic index, ʻo ia hoʻi, e hoʻonui mālie i ka nui o ke kō o ke kō, a no laila e kaupalena i ka pōloli i ka manawa, he mea nui loa. No ka laʻana, ka palaoa-pālua, ʻaila mauʻano liʻiliʻi, nā huahana paʻakai haʻahaʻa, waiū skim. E makemake ʻia nā ʻiʻo a me nā iʻa.
ʻO nā meaʻai e alai ai: ʻO nā meaʻai a pau e hoʻoulu i ka hoʻonui ʻana i ka glucose o ke koko, e like me ka pastry, ka huina maʻalahi, ka berena a me ka pasta mai ka palaoa, pono e pale ʻia. ʻO ka momona momona, nā mea inu momona carbonated, nā mea inu wai, a me kekahi mau huaʻolima glycemic indexally e like me ka ʻuala a me nā kaloti e pono hoʻi e kaupalena ʻia.

ʻOiʻa hoʻi ka mea nui ka hana kino kūponohana i kēlā me kēia lā a ʻekolu mau manawa i ka hebedoma e hoʻolaha i ka hoʻolilo ʻana.

Kālea lāʻau 1

Nā mea wai

1 kuli o ka lau palakeke,
1 punetēpō o ka hua kao puaa
30 g o nā lau walnut
1 hapauai o nā hua dill.

Hoʻohana: Pono e hoʻopili ʻia ka hui ʻana i ka wai e hoʻolapalapa ai i hoʻokahi mau minuke, a laila e kānana a inu i ka liʻiliʻi i ʻekolu mau manawa i ka lā.

Kālo Hāpala 3

Nā mea wai

½ Tbsp. Nā lau malo,
15 g o nā lau ʻukena,
35 g o nā lau walnut
35 g lau laupaʻa.

Hoʻohana: kāwili i nā lāʻau kanu i hōʻike ʻia, waiho no nā minuke he ʻumi a inu i ʻekolu mau manawa i ka lā.

ʻO ka lāʻau lapaʻau no ka paleʻana i ka insulin

Ke makemake nei ka lāʻau lapaʻau e hōʻemi i ke kō koko koko, a no laila, e kāpae i ka hyperinsulinemia.

ʻO nā lāʻau lapaʻau āu e hoʻohana ai he hypoglycemic oral ma waena āu i hiki ai ke hoʻomaopopo:

Biguanides: nā metformin e pili ana i kēia ʻāpana, a kūpono loa i ka hihia o ke kūʻē o ka insulin mai ka momona, ʻoiai hoʻi e hōʻemi ana i ka manaʻo o ka pōloli.
Glinides: nā lāʻau lapaʻau e hoʻohana ʻia e hoʻohaʻahaʻa i ke kōpaʻa koko ma hope o ka ʻai ʻana, ma waena o lākou e hoʻokaʻawale i ka repaglinide.
Sulfonylurea: hoʻonui i ka ʻike o nā pona i ka insulin, ʻaʻole hiki ke hoʻohana mau ʻia no ka mea hiki iā lākou ke hōʻoli i nā pae o nā protein plasma. ʻO Glycvidone, glipizide a me glibenclamide e pili ana i kēia māhele.

Ua hoʻāʻo mākou e hana i kahi kiʻi maʻamau o ka pale ʻana o ka insulin. Maʻalahi loa kēia ʻano loiloi i nā hihia paʻakikī, no laila he mea nui ka pale.

Ke kūlohelohe ʻia

ʻO ka insulin kahi kōkua kōkua koʻikoʻi o ko mākou kino, kuleana no ka hoʻoponopono ʻana i ka pakanā o nā pakanā a me ke hoʻohaʻahaʻa i nā pae i ka wai koko. Akā ʻike ka poʻe āpau i kēia hāmeʻe e like me ka mālama ʻana, a i ʻole, he mea kākoʻo i ke ʻano o kahi maʻi e like me ka maʻi maʻi.

ʻAʻole kekahi o nā lāʻau lapaʻau i kēia wā e hoʻohana koke nei i loko o ka pharmacology me kahi wikiwiki. Ma kahi o kahi makahiki i hala aku nei mai kona hanana hoʻokolohua e noi ai i ka mālama ʻana no nā kānaka.

I ka manawa mua, ua lawe wale ʻia mai ka pancreas o nā holoholona (puaʻa, pipi, a me nā kohola wale nō), akā ʻaʻole kū ka ʻenehana genetic, a me kona hoʻomohala wikiwiki, ua aʻo nā kānaka ʻepekema e hana me ka like me ka insulin.

E hoʻomanaʻo o ka hana ʻana o ka insulin i loko o ke kino o kēlā me kēia kanaka ke kuleana no ka metabolism. He nui ka poʻe i manaʻo kuhihewa ʻo ka insulin he lāʻau ia e pono ai no ka poʻe me ka maʻi maʻi.

ʻAʻole, he mea nui kēia ka hormone koʻikoʻi e loaʻa ai nā hopena multifaceted i loko o ko mākou kino. ʻAʻole ia e hoʻohaʻahaʻa i ka hoʻokahe koko wale nō, akā loaʻa kekahi hopena anabolic a me nā anti-catabolic.

ʻO nā kumu no predisposition

ʻO nā kumu no ka predisposition no ka pale ʻana i ka insulin:

ʻO ka huehue ke kumu o ka pale aku i ka insulinogenetics (hoʻoilina),
kōpili koko nui
kauhuhū (ka hana like ʻana o nā kenimimika lapuwale me kahi kaʻe ʻo ka hope),
diabetes type 2
huehue.

ʻOkoʻa nā ʻano ʻokoʻa o nā ʻano ʻokoʻa like ʻokoʻa. 10 mcED / ml (pae kiʻekiʻe o ka insulin) i kahi kanaka olakino e pono ai ka iwi adipose e hoʻopau i ka hōʻemi momona. I mea e pale ai i ka hoʻokuʻuʻana o ka glucose i loko o ke koko, pono e hoʻālu i nā aʻai i ka 30 mcED / ml. A ʻumi mau manawa he 100 mau hapa (100 mcED / ml) pono o ko mākou kino e ka ʻomi o ka glucose ma o ka io ʻoi ʻana.

ʻAʻole ke komo ka insulin i ka maʻi diabetes, akā hoʻonui nui ka maʻi i ka maʻi cardiovascular. ʻO ka insulin i loaʻa i ke koko e hoʻopili pololei i ka moku'āina o nā paia o nā kīʻaha koko.

Pahu ʻole nā liʻiliʻi koko i loko o nā moku, kahi mea e hiki ai i nā clog.

Ma muli o ka hoʻonui nui o ka kolamu "kino" i loko o ke koko, e poholo ana nā paia o nā moku me nā pāla, hele a maloʻo nā paia o ka arote carotid.

ʻO ka hoʻolālā koʻikoʻi, a i ʻole, ka pale ʻana o ka pale ʻana i ka insulin, he ʻanoʻai e hoʻemi ana i ka hoʻoneʻe ʻana i nā kalaiwa.

Akā ʻaʻole pau nā kālaiʻai i nā pōʻino loa i ko mākou kino: hiki ke ʻai ʻia nā ʻano cereals me ka makaʻu ʻole, akā, ʻo ka palupalu, nā kīʻaha maikaʻi a me ke kofe, ʻo ka hoʻopau ʻana i nā huahana a me nā ʻula kāwā.

Ke hana nei nā kānaka ʻepekema i ke ʻano o nā genetics e hana i ka lāʻau lapaʻau e mālama i ka kūleʻa o ka insulin, akā mau nō ka hopena. Manaʻo mākou e hiki koke mai nā hana mana o ka lāʻau lapaʻau, a hiki ke kōkua ʻia kou kino e kū pū me ia pilikia e like me ke kū ʻana i ka insulin.

Ke kūlohelohe ʻia

ʻO ke kūlohelohe Insulin kahi kūlana no ke poʻo o ka lā e pono ai ka insulin i ka 100-200 unahi. Hiki i ke kūlohelohe kumu no nā loli, he nui ka hoʻāla ʻana o nā kihi-contra-factor.

Ma nā kūlana i hele pū ʻia e ka hyperproduction o nā pituitary hormones (corticotropin, somatotropin, hormone thyroid, prolactin), hyperproduction o glucocorticoids (hypercorticism), mineralocorticoids (pheochromocytoma), a i ʻole ma ka hopena o ke ʻano me kēia mau lāʻau, hiki i ka kū ʻana ke kū i ka insulin.

I kēlā mau kūlana, lawa ka hoʻopau ʻana i ka hopena o nā mea kuhi-contra-e hoʻopau aku i ka kū i ka insulin.

ʻO kekahi manawa ke kū'ē o ka insulin he hopena o ka hōʻemi o ka nui o nā mea i kū i ka insulin, ke ʻano o nā antibodies e ʻike ai i ka ʻĀina a i ʻole insulin, a me ka luku wikiwiki ʻana i ka insulin.

I kēia hihia, pono e hoʻololi i ka ʻano o ka insulin, e hoʻohuli i ka hoʻomākaukau ʻana i ka insulin o ke kanaka a i ʻole kuhikuhi i nā glucocorticoids, i mea e wehe ai i nā lāʻau lapaʻau ma nā ʻāpana liʻiliʻi.

Nā hui kūlohelohe Oral e ka hui ʻana a me ka hoʻopiha ʻana i nā hana i hoʻopaʻa ʻia i kekahi mau hui: sulfonamides, biguanides, α-glucosidase inhibitors, regulators o postprandial glycemia.

No ka hoʻokumu ʻana i ka ʻike no ka hoʻomākaukau ʻana o sulfanilamide, ua kuhikuhi ʻia ka mea hōʻikeʻike i ka nui o kēlā me kēia lā o ka lā lapaʻau i loko o kahi ʻōpū ʻole i ka manawa hoʻokahi (ʻo ia hoʻi, 3 mg o ka butamide).

Hoʻoholo ʻia ʻo Glycemia ma mua o ka lawe ʻana i ka lāʻau lapaʻau a me kēlā me kēia 30 mau minuke no 5 mau hola ma hope o ka hoʻohana ʻana.

Me ka hoʻohaʻahaʻa ʻana i ka glycemia e 30% a i ʻole mai ka pae mua, ka manaʻo ka manaʻo ʻana i nā lāʻau sulfa.

ʻO ka hanauna mua o ka sulfonylureas hōʻike ʻia e ka maʻi kiʻekiʻe o kēlā me kēia lā kēia mau lāʻau, a, ʻoiai, ʻo kā lākou huehu kiʻekiʻe. I kēia mau lā, ʻaʻole i hoʻohana nui ʻia ka hapa nui o lākou.

Hōʻike ʻia nā lāʻau lapaʻau lua glibenclamide, (euglucon, daonyl, manninil), ka mea i hoʻohana ʻia ma ka papa o 1,75, 3,5 a me 5 mg mau manawa o ka lā i ka lā, glycidone (glurenorm), glycoslazide (maʻi maʻi maʻi, kanaka), glipizide (minidiab).

Mau kālā he hui hou o nā lāʻau lapaʻau hypoglycemic waha he hui glycidon, ka mea pono nui - Ka wikiwiki o ka metabolism ma loko o ke akea (ʻoiai i nā mea maʻi me nā maʻi koʻikoʻi) a me ka hoʻopā 95% ma o ke kanawai o ka kūwī ʻana, e ʻae ana i kona hoʻohana ʻana i nā palaka nui o ka maʻi, a me ka maʻi nephropathy maʻi.

ʻO ka pehu o Glenrenorm - 30 mg ʻekolu mau lā i ka lā. Eia kekahi, pilikia ka glurenorm i kahi hypoglycemic state, ʻaʻole ia i hāʻawi i ka loaʻa ʻana o ka paona, a ua hōʻoluʻolu maikaʻi ʻia e nā mea maʻi.