"Isihluthulelo Segolide" Sempilo Ye-Metabolic: Umhlahlandlela WokuthiI-insuliniUkuhlolwa

Ekufuneni kwethu impilo, sivame ukugxila emazingeni kashukela egazini, kodwa kalula singanaki “umlawuli” obalulekile ngemuva kwawo—i-insulin. I-insulin iyona kuphela i-hormone emzimbeni womuntu enganciphisa ushukela egazini, futhi umsebenzi wayo uthinta ngqo ukusebenza kwamandla ethu kanye nempilo yesikhathi eside. Namuhla, ake sembule imfihlakalo yokuthiukuhlolwa kwe-insulin futhi uqonde lesi “sihluthulelo segolide” sokuqonda impilo ye-metabolic.

I-insulini: Umlawuli wamandla womzimba

Cabanga ukuthi ukudla esikudlayo, ikakhulukazi ama-carbohydrate, kuguqulwa kube ushukela (ushukela wegazi) egazini lethu ukuze kunikezwe amandla emizimbeni yethu. I-insulin, esebenza njengomxhumanisi wamandla osebenza kahle kakhulu, ikhishwa amaseli e-beta e-pancreas. Umsebenzi wayo oyinhloko ukuyala amaseli ahlukahlukene ezicubu zomzimba (njengamaseli emisipha namafutha) ukuthi avule “amasango” awo ukuze amunce ushukela, awuguqule ube amandla, noma awugcine, ngaleyo ndlela agcine ushukela egazini usezingeni elizinzile.

Uma lo “mqondisi” eba ngongasebenzi kahle (i-insulinukumelana) noma abasebenzi abancane kakhulu (i-insulin ukushoda), ushukela egazini ungakhuphuka ngendlela engalawuleki. Ngokuhamba kwesikhathi, lokhu kungabeka isisekelo sesifo sikashukela kanye nezinkinga zaso.

Kungani UkuhlolwaI-insuliniAkukhona nje ngoshukela wegazi

Abantu abaningi bayabuza, “Angikwazi yini ukuhlola ushukela wegazi lami?” Impendulo ingucha. Ushukela egazini uwumphumela, kuyilaphoi-insulinyimbangela.Ukuhlolwa kwe-insulinikusenza sikwazi ukuthola ukuqonda kusenesikhathi nangokujulile ngesimo sangempela sendlela umzimba wethu osebenza ngayo.

1. Ukutholwa Kwasekuqaleni Kokumelana Ne-Insulin:Lesi yisici esibalulekile sesigaba sangaphambi kwesifo sikashukela. Kuleli qophelo, ushukela wegazi wesiguli ungase ube yinto evamile, kodwa ukuze unqobe “ukumelana ne-insulin,” umzimba usuvele udinga ukukhiqiza i-insulin eningi kakhulu kunokujwayelekile ukuze ugcine amazinga kashukela azinzile. Ukuhlolwa kwe-insulin kungasibamba ngokunembile lesi sigaba “se-compensatory hyperinsulinemia,” okuhlinzeka ngesixwayiso sezempilo esisesikhathini esingaphambili.
2.Ukusiza Ekuhloleni Uhlobo Lwesifo Sikashukela:Isifo sikashukela sohlobo 1 sihilela ukuntuleka ngokuphelele kwe-insulin; Isifo sikashukela sohlobo 2 sivame ukuqala sibe namazinga ajwayelekile noma aphezulu e-insulin. Ukulinganisa i-insulin kusiza odokotela ukuhlukanisa ngokunembile phakathi kwezinhlobo zesifo sikashukela, okunikeza ubufakazi obubalulekile bokudala izinhlelo zokwelapha ezenzelwe wena.
3. Ukuphenya Nge-Hypoglycemia Engachazeki:Amanye amathumba e-pancreatic (njenge-insulinomas) angabangela ukukhishwa kwe-insulin ngokweqile, okuholela ekuncipheni koshukela egazini. Ukuhlola amazinga e-insulin kusiza ekuxilongeni izimo ezinjalo.
4. Ukuhlola Umsebenzi We-Pancreatic Beta-Cell:Ngokusebenzisa izivivinyo ezikhethekile (ezifanaI-insuliniUkuhlolwa Kokukhululwa), odokotela bangahlola ikhono le-pancreas lokukhipha i-insulin ngenxa yomthwalo we-glucose, benquma ubukhali kanye nesigaba salesi simo.

Ubani Okufanele Acabangele Ukuhlolwa Kwe-Insulin?

Ukubonisana nodokotela kanye nokuba ne-i-insulinukuhlolwa kungaba usizo uma uwela kunoma yisiphi salezi zigaba ezilandelayo:

• Unomlando womndeni wesifo sikashukela futhi ufisa ukuhlolwa kwengozi kusenesikhathi.
• Ukuhlolwa ngokomzimba kwembule ukuthi i-glucose yokuzila ukudla ayisebenzi kahle noma ukuthi i-glucose ayibekezeleli kahle.
• Une-obesity ephezulu, umfutho wegazi ophakeme, i-cholesterol ephezulu, noma i-polycystic ovary syndrome.
• Ukuzwa indlala engachazeki ngaphambi kokudla, ukushaya kwenhliziyo, ukuthuthumela, noma ezinye izimpawu ze-hypoglycemia.

Ukuhlolwa Kwenziwa Kanjani Futhi Imiphumela Ichazwa Kanjani?

Ukuhlolwa kwe-insulin kuvame ukwenziwa ngokudonsa igazi. Indlela evamile "ukuhlolwa kokukhishwa kwe-insulin," okulinganisa ngasikhathi sinye amazinga e-insulin kanye noshukela egazini ngezikhathi ezahlukene ngemva kokuzila ukudla kanye nokuphathwa kwe-glucose ngomlomo, bese uhlela izinguquko zawo eziguquguqukayo.

Ukuhumusha umbiko kudinga uchwepheshe wezempilo,** kodwa ngokuvamile ungaqonda:

• Ukuzila ukudlai-insulin: Amazinga aphezulu angase abonise ukumelana ne-insulin.
• Isiqongoi-insulinukuhlushwa kanye nendawo engaphansi kwejika (AUC): Kubonisa izindawo ezigciniwe ze-pancreatic kanye namandla okukhipha.
• I-insulini isilinganiso se-glucose egazini: Inikeza ukuhlolwa okuphelele kokusebenza kahle kwe-insulin.

Sicela uqaphele: Ukuzila ukudla amahora angu-8-12 ngokuvamile kuyadingeka ngaphambi kokuhlolwa, futhi gwema ukusebenzisa imithi engase ithinte imiphumela. Sicela ulandele imiyalelo kadokotela wakho ukuze uthole ukulungiselela okuqondile.

Isiphetho

“Zazi wena futhi wazi isitha sakho, futhi awusoze wanqotshwa.” Kunjalo nangokuphatha impilo. Ukuhlolwa kwe-insulin kusenza sikwazi ukudlulela ngale kokubuka nje isimo “sikashukela egazini” bese sihlola izimbangela eziyinhloko zezinkinga ze-metabolic. Kuwukuhlolwa okujulile “kohlelo lokulawula amandla angaphakathi emzimbeni, okunikeza ubufakazi obubalulekile besayensi bokungenelela kwasekuqaleni, ukwelashwa okunembile, kanye nokuphathwa kwezempilo.