ʻO ka paleʻana a me ka maikaʻiʻole, ʻaʻole wale ka hopena o ka metabolism, akā hoʻopilikia pū kekahi i nā hana o nā momona a me nā protein.
ʻO nā hopena hopena paha ke hōʻike pū ʻia me nā hōʻike o nā maʻi e like me ka atherosclerosis, ka hōʻeuʻeu o ka naʻau, a i ʻole ka hoʻomohala ʻana i nā kipi koko i loko o nā moku koko.
ʻO ke kumu pale kū i ka insulin he kumu pono i ka hoʻomohala a e kau ʻia ma ka mālama i nā kauoha
He aha ke kūlohelohe i insulin?
He aha ka hōʻailona pale a pehea e hōʻike ʻia ai ia? Ma ka unuhi maoli, ua pili ka huaʻōlelo o "ka pale o ka insulin" e pili ana i ka insensitivity o nā hana i ka insulin hormone. Ke alakaʻi nei kēia ʻano physiological o ke kino i ka mea ʻaʻole i pane nā cell i ka komo ʻana i ka hormone a hoʻohana ʻole ia e like me ke ikehu ikehu.
ʻO ka hopena o kēia kaʻina mea, ʻaʻole hiki i ka glucose ke komo i loko o nā loko a me nā ʻili a me kahi ulu hoʻomohala ʻana o ka hyperglycemia a me ka maʻi mellitus e nānā ʻia.
Pono pono ka hiona hāmeʻa i ke kino o ke kanaka e hoʻomaʻamaʻa a hoʻohaʻahaʻa i nā pae koko koko. Ma ka huli ʻana, ʻo nā glucose āpau e hele mai me ka meaʻai e hoʻonui i ka nui o ke kō. ʻO ka pancreas "ʻike" i kahi hou o ka glucose, hoʻomaka e hana i ka insulin i ka nui. ʻO ka nui o ka hāmeʻa i hana ʻia e pili ana i ka nui o ke kō e loaʻa ai me ka papaʻaina.
Inā kū ʻia ka maʻi kūleʻa, pono ka pancreas e hana i ka nui o ka hormone e hoʻohemo i ka glucose i loko o nā pahuna i pane ʻole mai i ka insulin.
I ka ʻōlelo lapaʻau, ʻo ka hōʻemi ʻana i ka insulin o nā kiko i kapa ʻia kekahi metabolic syndrome, ka mea e hui pū ai i ka hōʻino ʻana i nā kaʻina āpau o ka metabolic i loko o ke kino, ka momona, ke ʻano o nā maʻi like ʻole o ka ʻōnaehana cardiovascular a me ka maʻi mellitus.
ʻO ke kumu o ke kūʻē o ka insulin
Hiki i kekahi mau mea ke hoʻoikaika i ka hoʻomohala ʻana o ka pathology, ka mea e hōʻike ana iā ia iho i ka hoʻemi ʻana o ka naʻau o ka naʻau i ka insulin. E pili ana kēia:
- ʻO ka predisposition genetic a me ka hopena hoʻoilina.
- ʻAʻohe meaʻai kūpono a me ke ʻano kūpono. Hiki i kēia ke komo i ka hana kūlohelohe o ka pilikino, ke kū ʻana i nā hana maikaʻi.
- Ke lawe nei i kekahi mau pūʻulu o nā lāʻau.
- ʻO ka hoʻonāukiuki o ka hormonal i loko o ke kino a me nā haunaele i ka ʻōnaehana endocrine.
- ʻO ke kaumaha a me ka momona nui. ʻO nā mea koʻikoʻi o ka pōpilikia he momona momona i loko o ka pūhaka, ʻoiai lilo lākou i mea pale i ka ʻike maʻamau o ka insulin.
Eia kekahi, ʻo ia ka mea i hōʻemi ʻia i ka hoʻonaninau ʻana i ka hormone a i ʻole ke pale ʻia paha he hopena ia o kahi maʻi e like me ka hypoglycemia i ka maʻi diabetes type 2. I kēia hihia, pilikia iki kahi maʻi a hala paha ma hope o kekahi manawa.
I kēia lā, he nui nā maʻi e kupu mai nei ka hopena o ka hoʻomohala ʻana i kahi maʻi metabolic. ʻO ka mea mua, aia kēia mau maʻi i ka:
- ka hoʻēmi ʻana o ka maʻi type 1;
- ka helehelena o ka maʻi mellitus o ka lua o ka ʻano;
- diabetes ketoacidosis maʻi;
- nā ala āpau o ke kaiha endocrine - thyrotoxicosis a me hypothyroidism;
- ka hōʻike ʻana o ka maʻi polycystic ovary;
- wahine hūnā wahine;
- hoʻokiʻekiʻe mau ʻia i ke koko a i ʻole ke ʻano kiʻekiʻe.
ʻO kekahi o nā kumu o luna, a me ka hui pū ʻana paha i kekahi mau mea, ke hiki ke hōʻake i ka insulin.
Pehea e hōʻike ʻia ai ka hōʻailona?
E hoʻoholo kūʻokoʻa ʻole inā he insensitivity i ka insulin, e ʻohi ana i ko lākou olakino ponoʻī. ʻOi aku ka maikaʻi ma lalo o nā hoʻokolohua ʻike pono i loko o kahi ʻoihana olakino a hōʻike i nā hoʻokolohua pono.
Loaʻa hoʻi ia i ka hopena o ka pae o ka "maikaʻi" a me ka "maikaʻi" cholesterol.
ʻO nā ʻōmaʻomaʻi koʻikoʻi e hiki ke hōʻailona i ka kuhi ʻana i ka insulin e hiki ke hele mai i loko o ke ʻano:
- loaʻa mau ke kaumaha koʻikoʻi, luhi, ka mea nui i ka ʻāʻī;
- ka pololi i hele pū me ke ao, hiki ʻole i ka lawa;
- pilikia a me ka pilikia ʻana, kahi maikaʻi loa ma hope o ka ʻai;
- ka ʻeha, nā ʻōpū o ke kino, hiki ʻole ke nānā pono a me ka noʻonoʻo;
- ke koko kiʻekiʻe;
- hōʻike nā hopena hōʻike i ka hoʻonui nui ʻana o ka triglycerides;
- hana ka ʻili o ka ʻili, hoʻonui ʻia ka maloʻo, hoʻomohala ka pigmentation, ʻili ʻia i loko o nā pale lima, umauma a me ka ʻāʻī e pau kona elasticity a lilo i mau ʻā.
ʻAʻole nā hōʻike āpau o luna ma nā hōʻike i hōʻike hewa ʻole ʻia ke kino o ka insulin. Eia kekahi, i kekahi mau hihia, nā hōʻailona a me nā hōʻailona nei kahi hōʻailona o ka hoʻomohala ʻana o nā hana pathological ʻē aʻe.
Hoʻokumu ʻia nā haʻawina olakino e hiki ke ʻike i ke ʻano metabolic syndrome ma lalo nei:
- hōʻike nā hopena hōʻike koko i kahi kiʻekiʻe o ka cholesterol maikaʻi ʻole a me ka hemahema o ka maikaʻi;
- triglycerides ma mua o nā hōʻailona hōʻailona;
- loaʻa i ka urine ke kiʻekiʻe i ka protein.
Ma ka hoʻohālikelike ʻana i kahi maʻi e kau ana ma luna o nā hopena o nā hoʻokolohua he pilikia nui. Hiki i ka mea hope ke hōʻike wale i ka hiki o kēia maʻi.
I kēlā me kēia hihia, inā e hele like kēlā mau hōʻailona a hele pū lākou me ka mea maʻi i ka manawa āpau, pono ʻoe e nīnau i ke kauka e ʻike i ke kumu o kā lākou hanana ʻana.
Pehea e hana ai ke ʻano?
I kēia lā, aia kekahi mau laʻa no ka hoʻoholo ʻana i ka hoʻōla ʻana o nā ʻine i ka insulin. Ua hoʻāpono ʻia lākou e ka World Health Organization i ka 1999 a ua ʻike ʻia nā mea pōʻino e hiki mai ana:
- ʻO ka hihihi type abdominal (ma ka ʻōpū.). Ma ke ʻano he laʻana, he mea maʻamau ka hoʻohana ʻana i kēia mau kuhikuhi: ʻo ka ʻili i loko o nā wahine ʻaʻole e oi aku i 90 mau kenimika, ma loko o nā kāne ʻoi aku kēia ma lalo o 101.5 kenimika.
- ʻO ka heleʻana o hypertriglyceridemia, ʻoiai nā hopena hōʻike ma lalo o 1.7 mmol no ka pāhau.
- ʻOi aku ka maikaʻi o ka cholesterol maikaʻi ma lalo o ka maʻamau (ua emi mai ka 1.0 mmol no ka pākeke i ka kāne a emi mai ka 1,28 mmol no ka pākeke i ka wahine)
- ʻO ka hōʻike o ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose.
- Ua hōʻike ʻia ka mea maʻi i ka maʻi maʻi type 2.
- He maʻi haole.
- ʻO Microalbuminuria Ma kahi e hōʻike ai ke aniani, ʻo ka ratio normative o ka albumin a me ka likinine he 20 mg no ka pā.
Ma ka papa hana, hōʻike nā hōʻike maʻi me ka hoʻoliʻike koko no ka nānā ʻana. Hoʻopau ʻia kēia hana i ke kakahiaka, ma ka ʻōpū ʻole. Pono nā hōʻailona o ka insulin e nui aku i kahi māka ma waena mai 3 a 28 μU / ml. Inā hōʻike nā hopena hōʻike i nā helu he nui loa, hiki i kēia ke hōʻike i ka pancreas e hana i ka nui o ka hormone e kūleʻa i ka pale.
No ka ʻike ʻana i nā malfunctions i loko o ka hale hana, hiki ke hana ʻia kahi keʻokeʻi kūikawā. Kuhi ʻia kona ʻano i hana 'ia me kahi inikini intravenous, kahi e mālama mau ai ka insulin a me ka glucose i nā minima a i ʻeono hola. ʻAʻole hoʻohana ʻia kēia kaʻina hana, no ka mea, he hana ia i kahi hana.
I ka mea e ʻike ai hiki i ke kanaka ke hoʻomohala i kahi ʻano like me ke kūʻē ʻana, e hoʻohana ʻia nā mea hōʻike kūikawā:
- HOMA IR. Pono ka ʻikepili ma lalo o 2.7, e hōʻike kēia i kahi pae maʻamau o ka insulin.
- CARO ʻO ka hōʻailona hōʻike ka 0.33.
Kuhi ʻia kēlā mau helu ma ka kumu o nā hōʻike koko.
Pehea ka hana ʻana?
No ka mālamaʻana i kēia maʻi, pono e hoʻohana i nā ʻano ʻoihana paʻakikī, ka mea e komo ai:
- lāʻau lāʻau;
- ka hana mālama kai;
- hoʻoikaika kino kino a me ke ʻano hana.
Pono e noʻonoʻo pono i ka mea nui e pono ai ma ka hānai kūpono a me ka kaumaha kaumaha. Pono e hoʻoponopono ʻia nā mea ʻai ʻai. Hiki i ka mea maʻi ke nānā pono i kāna kīʻaha a wehe i nā centimeter hou i loko o ka ʻūhā. Pono e kau i nā mea nui i nā ipu maikaʻi loa. ʻO ke kūpono, pono e hoʻomohala ʻia ka mea ʻai e ka mea lapaʻau e mālama i nā hiʻohiʻona o ka mea maʻi.
ʻO kekahi kīʻaha kūpono kahi o nā meaʻai i lalo iho;
- nā mea kanu a me nā hua paʻi ʻole;
- palaoa ʻai palaoa a i nā nui liʻiliʻi, cereals a me nā cereal (koe wale ka laiki a me semolina);
- kai iʻa;
- nā kakalū momona a me nā moa pīkī;
- inā pono, e hana i kahi papa o ka lawe ʻana i nā mea kikoʻī a me nā mea hoʻohui pono (e like me ke ʻano me ke kauka hele nei).
I mea e kū ai ka nui o ka pae o ka glucose i ke koko, pono e haʻalele iki i ka ʻai o ke kō, ke kō a me ka confectionery.
Hiki i nā hoʻomaʻamaʻa kūpono ʻana i ka maʻi physiotherapy a me nā hana ola hiki ke hana i kahi hāʻule o nā kō. ʻO ka hoʻolaha hou o nā hele wāwae i kēlā me kēia mau minuke 20-30.
I kekahi mau manawa, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua iā ʻoe e hoʻokele i kāu mau maʻi a hoʻoponopono i nā kiʻekiʻe o ka glucose koko ma muli o ke kūʻē o ka insulin. ʻO ka lāʻau lapaʻau nui no ka mālamaʻana i ka maʻi ka metformin. Hāʻawi kona hoʻohana ʻana i ka hoʻemi ʻana i ka insulin a me ka glucose i loko o ke koko, ʻoiai ʻaʻole e hoʻolei i ka hypoglycemia. I waena o nā kumu waiwai hou o ka lāʻau lapaʻau e komo:
- waiho kaumaha;
- ka hoʻonui ʻana i ka hana hana i ka wahine;
- ka hoʻāo ʻana o ka hele ʻana no ke kāne.
Eia kekahi, i ka ʻae ʻana a me ke kauka komo, hiki iā ʻoe ke hoʻohana i nā ʻano lāʻau lapaʻau like ʻole. ʻO kahi ʻoi a me ka maʻalahi o ka hoʻomaʻamaʻa ʻana o nā blueberries i loko o ka meaʻai o kēlā me kēia lā. A mai kona mau lau hiki iā ʻoe ke hoʻomākaukau i kahi decoction lāʻau lapaʻau.
ʻO nā Blueberries ma waena o nā meaʻai liʻiliʻi e hiki ke hoʻonui i ka sensitivity insulin ma ka hoʻohaʻahaʻa ʻana i ke kō koko.
He aha nā hopena he aha?
I ke hopena o ka metabolic syndrome, ʻo ke koko o ke kanaka ka nui o ka kiʻekiʻe o ka insulin. I kēia hihia, hiki i nā loina glucose ke ʻano like ʻole a haʻahaʻa loa. Ma muli o kēia ʻano ka manaʻo ai i kekahi kanaka i nā luhi mau, ka ʻehaʻeha, ke kaumaha a me ka luhiluhi, ma muli o ke ʻano e koi ai ke kino i ka nui o ka nui o ke kīhaʻi.
Hiki i kēlā meaʻai ke hoʻonui i ka nui o ke kō i loko o ke koko, a ma muli o kēia, hana ka pancreas i kahi ʻāpana o ka insulin. Hoʻokahi pōʻai pōpilikia.
ʻOiai ka manaʻo o ke ʻano maʻamau i kēia manawa he mea nui ke kaʻo ʻana i ke kauka, pono ʻoe e makaʻala i kou olakino.
Inā ʻaʻole ʻoe e noʻonoʻo a mālama i ka kū ʻana o ka insulin i ka manawa, hiki mai kēia mau hopena maikaʻi ʻole a me nā maʻi.
- hoʻonui mahuahua o ke kaupaona ʻana;
- ka hōʻike ʻana o nā palaka kolala ma nā paia o nā kīʻaha koko;
- kaʻili ʻana o ka lumen o nā kīʻaha koko ma muli o ka ulana o nā paia o ka arote carotid;
- ka hoʻomohala ʻana o ka maʻi diabetes type 2;
- pathology o ke ʻano o ka pūnaehana cardiovascular;
- ka hooulu ʻana o ka hypertension;
- ka hōʻike ʻana o ka atherosclerosis.
ʻO ka hōʻike ʻana o nā maʻi ma luna nei e hilinaʻi pololei i ka manawa e ʻike ai ka maʻi metabolic a me kāna hana ʻana. ʻO kahi papa kolaʻomaʻo pōkole wale nō e kōkua i ka pale ʻana i nā pilikia olakino hou a pale aku i nā hopena maikaʻi ʻole. Eia kekahi, ʻaʻole ʻoe e lawe i nā lāʻau lapaʻau ponoʻī iā ʻoe iho a me ka mālama pono iho. ʻO ka wikiō ma kēia ʻatikala e hoʻomau i ke kumuhana o ka pale ʻana i ka insulin.
