"Ukhiye Wegolide" Wezempilo Ye-Metabolic: Umhlahlandlela weI-insulinUkuhlola

Ekuphishekeleni kwethu impilo, sivame ukugxila emazingeni kashukela egazini, kodwa singakunaki kalula “umkhuzi” obalulekile ngemuva kwawo—i-insulin. I-insulin yiyona kuphela i-hormone emzimbeni womuntu enganciphisa ushukela wegazi, futhi umsebenzi wayo uthinta ngokuqondile amandla ethu okusebenza kwe-metabolism kanye nempilo yesikhathi eside. Namuhla, ake sembule imfihlakalo yeukuhlolwa kwe-insulin futhi uqonde lo “khiye wegolide” wokuqonda impilo ye-metabolic.

I-insulin: Isilawuli samandla omzimba

Cabanga ukuthi ukudla esikudlayo, ikakhulukazi ama-carbohydrate, kuguqulwa kube ushukela (ushukela osegazini) egazini lethu ukunikeza amandla emizimbeni yethu. I-insulin, esebenza njengomxhumanisi wamandla osebenza kahle kakhulu, ikhiqizwa amaseli we-beta we-pancreas. Umsebenzi wawo oyinhloko uwukuyala amangqamuzana ezicubu ezihlukahlukene zomzimba (njengamangqamuzana emisipha namafutha) ukuba avule “amasango” awo ukuze amunce i-glucose, ayiguqule ibe amandla, noma ayigcine, ngaleyo ndlela agcine ushukela wegazi usezingeni elizinzile.

Uma lo “mqondisi” engasebenzi kahle (i-insulinukumelana) noma abasebenzi abancane kakhulu (i-insulin ukuntula), ushukela wegazi ungakhuphuka ngokungalawuleki. Ngokuhamba kwesikhathi, lokhu kungabeka isiteji sesifo sikashukela kanye nezinkinga zaso.

Kungani UkuhlolaI-insulin? Akukona Nje Ngoshukela Wegazi

Abantu abaningi bayabuza, “Angikwazi nje ukuhlola ushukela wami wegazi?” Impendulo ithi cha. Ushukela wegazi ungumphumela, ngenkathii-insulinyimbangela.Ukuhlolwa kwe-insulinkusivumela ukuthi sithole ukuqonda kwangaphambilini nokujulile mayelana nesimo sangempela semetabolism yomzimba wethu.

1. Ukutholwa kusenesikhathi kokumelana ne-insulin:Lesi isici esiyinhloko sesigaba se-prediabetes. Kuleli qophelo, ushukela osegazini wesiguli ungase ube ujwayelekile, kodwa ukuze unqobe “ukumelana ne-insulin,” umzimba usuvele udinga ukukhipha i-insulin eningi kunokwejwayelekile ukuze ugcine amazinga kashukela ezinzile. Ukuhlolwa kwe-insulin kungasithwebula ngokunembile lesi sigaba “se-hyperinsulinemia eyisinxephezelo,” esinikeza isexwayiso sezempilo sangaphambi kwesikhathi.
2.Ukusiza ekuhlonzeni uhlobo lwesifo sikashukela:Isifo sikashukela sohlobo loku-1 sihilela ukuntuleka ngokuphelele kwe-insulin; Isifo sikashukela sohlobo 2 sivame ukuveza amazinga ajwayelekile noma aphezulu we-insulin. Ukulinganisa i-insulin kusiza odokotela bahlukanise ngokunembe kakhudlwana phakathi kwezinhlobo zesifo sikashukela, kunikeze ubufakazi obubalulekile bokwenza izinhlelo zokwelashwa eziqondene nawe.
3. Ukuphenya i-Hypoglycemia Engachazwanga:Izimila ezithile zama-pancreas (njenge-insulinomas) zingadala ukukhiqizwa kwe-insulin ngokweqile ngendlela engavamile, okuholela kushukela wegazi ophansi. Ukuhlola amazinga e-insulin kusiza ekuhlonzeni izimo ezinjalo.
4. Ukuhlola Umsebenzi Weseli Ye-pancreatic Beta:Ngokuhlolwa okukhethekile (njenge-I-insulinUkuhlolwa kokukhishwa), odokotela bangahlola amandla e-pancreas okukhiqiza i-insulin ngokuphendula umthamo we-glucose, banqume ukuqina kanye nesigaba saleso simo.

Ubani Okufanele Acabangele Ukuhlolwa Kwe-insulin?

Ukubonisana nodokotela nokuba neyakhoi-insulinokuhloliwe kungaba yinzuzo uma uwela kunoma yisiphi izigaba ezilandelayo:

• Iba nomlando womndeni wesifo sikashukela futhi ufisa ukuhlolelwa ubungozi kusenesikhathi.
• Ukuhlolwa ngokomzimba kwembula ukuthi i-glucose yokuzila ukudla ekhubazekile noma ukubekezelelwa kwe-glucose okungajwayelekile.
• Yiba nokukhuluphala ngokweqile, umfutho wegazi ophakeme, i-cholesterol ephezulu, noma i-polycystic ovary syndrome.
• Uhlangabezana nendlala engachazwanga ngaphambi kokudla, ukushaya kwenhliziyo, ukuthuthumela, noma ezinye izimpawu ze-hypoglycemia.

Ukuhlola Kwenziwa Kanjani Futhi Ihunyushwa Kanjani Imiphumela?

Ukuhlolwa kwe-insulin kuvame ukwenziwa ngokudonsa igazi. Indlela evamile “ukuhlolwa kokukhishwa kwe-insulini,” okukala ngasikhathi sinye amazinga e-insulin kanye noshukela wegazi ngezikhathi ezihlukene ngemva kokuzila ukudla nokuphathwa kweglucose yomlomo, bese ihlela izinguquko zayo eziguquguqukayo.

Ukutolika umbiko kudinga uchwepheshe wezokunakekelwa kwempilo,** kodwa ungaqonda ngokujwayelekile:

• Ukuzila ukudlai-insulin: Amazinga aphezulu angase abonise ukumelana ne-insulin.
• Isiqongoi-insulinukugxila nendawo engaphansi kwejika (AUC): Ibonisa izinqolobane zama-pancreas kanye namandla okuyimfihlo.
• I-insulin isilinganiso sikashukela wegazi: Ihlinzeka ngokuhlolwa okuphelele kokusebenza kahle kwe-insulin.

Sicela uqaphele: Ukuzila ukudla amahora angu-8-12 ngokuvamile kuyadingeka ngaphambi kokuhlolwa, futhi ugweme ukusebenzisa imithi engase ithinte imiphumela. Sicela ulandele imiyalelo kadokotela wakho ukuze ulungiselele okuthile.

Isiphetho

“Zazi futhi uzazi isitha sakho, futhi awusoze wanqotshwa.” Okufanayo kusebenza ekuphatheni impilo. Ukuhlolwa kwe-insulin kusivumela ukuthi sidlulele ngalé kokubuka nje “ushukela osegazini” futhi sihlole izimbangela zokuphazamiseka kwe-metabolic. “Iwukucwaninga” okujulile kohlelo lokulawula amandla angaphakathi emzimbeni, okuhlinzeka ngobufakazi besayensi obubalulekile bokungenelela kusenesikhathi, ukwelashwa okunembayo, nokuphathwa kwezempilo.