ʻO ka Insulin kahi waiwai i hoʻohuihui ʻia e nā kekena beta o nā mokupuni o Langerhans-Sobolev o ka pancreas. Lawe kēia hormon i kahi hana ikaika i nā kaʻina metabolic o ke kino. Mahalo i kāna hana e loaʻa i nā kōpona a me nā ʻili he nui ka nui o ka glucose e hōʻoia i ka pono o ka ikehu. ʻO ka mea aʻe i manaʻo ʻia i ke ʻano o ka insulin i loko o ke koko o nā wahine i kahi ʻōpū ʻole, nā kumu no ka hoʻololi o kona pae a pehea e hana ai.
ʻO kahi ʻāpana e pili ana i ka hormone a me kāna hana
Ua manaʻo ʻia ʻo Insulin kekahi o nā meaʻenehana hoʻopaʻa ʻia a me nā ʻano lāʻau ikaika. Eia kāna mau hana:
- mahuahua pili kōpoho pālākiō no ka kō;
- hoʻonāukiuki o nā huina o ka mea i komo i nā ʻōnaehana oxidation glucose;
- hoʻonāukiuki i ka hoʻokumu ʻana o ka glycogen a me kona hoʻohemo ʻana i nā pūpū mālama a me nā mākala;
- komo i ka metabolism o nā lipids a me nā protein.
ʻO ka kūlana maʻamau ka lawa o ka pae o ka insulin i ka koko. Aia kahi ʻano like o kēlā me kēia kulekele: kūʻiʻo mau a me ka nele o ka pili. ʻO ka hihia mua, ʻaʻole hiki i nā cell secret secret o ka pancreas ke hoʻohālikelike i kā lākou mau hana a hiki ʻole ke hana i kahi nui o ka hormone. He ʻano hiʻohiʻona ka manifestations no ka maʻi mellitus type 1.
Inā hoʻāʻo ka pancreas i ka nui o ka insulin, akā, māhina nā pūna o ke kino i ko lākou ʻike iā ia, ke ʻōlelo nei mākou e pili ana i ka hemahema pili ʻole. Ua pili ʻo ia i ka hoʻopili ʻana o ka maʻi ʻehā o ka maʻi ʻehā.
![](http://img.diabetesentity.com/img/diab-2020/7982/norma-urovnya-insulina-v-krovi-natoshak.jpg)
Nā kumumeka Beta o nā kahakai o Langerhans-Sobolev - ka wahi hana i hoʻopili i ka synthesis o insulin
He aha nā helu i manaʻo maʻamau?
ʻO ka helu o ka insulin i ke koko ma kahi ʻōpū ʻole (i nā kāne a me nā wahine waena kahiko) ʻaʻole i hele ma mua o 25 mkU / l. ʻO ka palena haʻahaʻa he 3 μU / L.
Ma nā keiki ma lalo o ke 12 mau makahiki he nui, ka pae o ka pae haʻahaʻa o ka nui o ka insulin e like me nā helu o nā pākeke, a me ka nui o ka mea i hāʻawi ʻia ma kahi o 20 mkU / l. I nā poʻe kahiko a me nā wahine hāpai, ʻokoʻa ka liʻiliʻi o nā mea. Loaʻa nā mole o ka hormone maʻamau i kēia mau hōʻailona:
- Hoʻonui: loa - 27 mkU / l, palena liʻiliʻi - 6 mkU / l.
- Nūneʻo: ka loa o 35 mkU / l, ka palena liʻiliʻi o 6 mkU / l.
Hiki i nā heluhelu e pili ana i ka nui o ka insulin i ke koko i loko o nā keiki e hiki ke loaʻa ma kēiaʻatikala.
Pehea e hoʻoholo ai ka insulin.
ʻElua mau ala nui i hoʻohana ʻia e hoʻoholo i ke ʻano o ka insulin i ke koko o nā wahine.
- hoʻokaʻa koko;
- hoʻāʻo ka hoʻokele gula.
I ka hihia mua, hāʻawi ʻia ke kumuhana i ke koko i kahi ʻōpū ʻole i loko o kahi wahi hana. I mea e kū pono ai ka hopena, pono ia e hoʻomākaukau no ka hōʻiliʻili o nā kumuwaiwai. No ka mau hola 8-12 hōʻole lākou i ka meaʻai, i ke kakahiaka hiki iā ʻoe ke inu wale i ka wai (gula, kahi hapa o kaʻaila, compote hiki ke hoʻowalewale i ka hoʻokuʻu ʻia ʻana o nā mea ikaika a me nā pancreas).
Hoʻololi hoʻokolohua Glucose
Kēia hana kēia diagnostic kumu ma ka mea he nui ka mea maʻi e lawe koko i nā manawa pinepine. E hele aku ʻoe i ka ʻoihana me ka ʻole o ka ʻaina kakahiaka i ke kakahiaka. Lawe lākou i ke koko mai kahi pua. Ma hope aʻe, inu ka mea maʻi i kahi hopena momona e pili ana i ka pauma glucose. Ma kekahi mau manawa (ke kuhikuhi paha ke kauka komo i ke ala no ka manawa sampling i makemake ai no ka reanalysis) e lawe hou ʻia ke koko venous.
![](http://img.diabetesentity.com/img/diab-2020/7982/norma-urovnya-insulina-v-krovi-natoshak-2.jpg)
ʻO ka pauku Glucose, kahi hoʻoheʻe ʻia i loko o ka wai no ka hōʻike, hiki ke kūʻai ʻia i ka hale kūʻai
I ka pane ʻana i ka intake o ka glucose i loko o ke kino, pono ke pane ʻana i ka pancreas ola ma ka hoʻokuʻu ʻana i kekahi nui o ka insulin i loko o ke koko e kaohi i ka kō i loko o nā kō a me nā kiko. Inā hele hewa kahi hoʻopili i nā kelepa a i ʻole ka loli i ke ʻano o nā mea i nā pona i ka insulin, e pane mai ke kino ma muli o ia, kahi e hoʻoholo ʻia ai e ka lāʻau o ka mea maʻi maʻi indomaterial.
E hoʻohana ana i ka mika
Ua hoʻohālikelike ka poʻe i ka hana o kēia polokalamu kelepona i ka ʻike ʻana me ke kōkua ʻana e hiki ke hoʻoholo i ke kiʻekiʻe o ka hormone ma ke koko. ʻAʻole e hōʻike ka mea hōʻike i nā helu kūpono, akā e hōʻike iā ia i hiki ke loiloi i nā ʻōnaehana o ke kō, e pili ana i nā mea hiki ke manaʻo e hoʻonui ʻia a emi paha paha ka insulin.
Pehea e hoʻohana ai i ka mika:
- E nānā i ke olakino o ka mea e ka huli iā ia a hoʻokomo i kahi kānana hōʻike. Pono ke code ma ke kaula a ma ka ʻaoʻao o kēlā me kēia.
- E holoi maikaʻi i kou mau lima, e mālama i kou manamana lima me ka waiʻona ethyl a i ʻole kekahi o nā mea maʻi. E kali no ka maloʻo o ka ʻili.
- Ke hoʻohana ʻana i ka lancet, kahi i kau ʻia ma ke kaʻe, hana i kahi puncture. E wehe i ke kahe o ke koko me kahi kaiki wili.
- E noi i kahi lua i wahi i kuhikuhi ʻia i ke kumu hōʻike o ka kānana. Hoʻomaʻamaʻa ʻia kēia wahi me nā lāʻau kūlohelohe kūikawā e kūlike me ka biomaterial o ke kumuhana.
- Ma hope o kekahi manawa (i hōʻike ʻia i nā ʻōlelo kuhikuhi, no nā ʻano like like o nā glucometers a ʻae ʻole), hōʻike ʻia ka hopena ma ka ʻaoʻao o ka hāmeʻa. Pono e kākau ʻia ma kahi moʻomeheu pilikino, no laila ma hope e hoʻohālikelike ai i nā mea hoʻohuli ʻē aʻe a hōʻike paha i kekahi loea akamai.
![](http://img.diabetesentity.com/img/diab-2020/7982/norma-urovnya-insulina-v-krovi-natoshak-3.jpg)
ʻO ka hoʻoholo ʻana i nā pae insulin e hiki nō hoʻi me kahi glucometer
Na Hormone i hoʻonui
![](http://img.diabetesentity.com/img/diab-2020/7982/norma-urovnya-insulina-v-krovi-natoshak-4.jpg)
Aia ma muli o nā kumu o kēia ʻano hiki ke lilo i physiological a me nā pathological. Ke hoʻonui ʻia nei ka physiological i ka pae o ka hormone ma hope o ka pāʻina, i ka manawa e hoʻouna ai ke kino i ka hōʻailona i ka pancreas e pili ana i ka pono e hoʻemi i ka glycemia.
ʻO ka insulin kiʻekiʻe kiʻekiʻe ka mea i kapa ʻia ka hyperinsulinism. Wahi a ka helu, hiki i ke ʻano o ke ʻano a me ka lua. Hoʻokumu ka hyperinsulinism mua i ke kūpaʻa o nā pilikia o ka mea hana insularus. ʻO nā mea ʻalaʻala paha:
- hana ʻōiwi pale pancreatic;
- ke kumu mua o ka maʻi diabetes;
- ka hoʻokele ʻana ma ka ʻōpū, ʻoiai kahi e komo koke ai ka ʻōpū ʻai i ka ʻōpū liʻiliʻi, ka mea e hoʻonāukiuki i ka ʻili o ka insular;
- nā kūlana neurotic.
ʻAʻole pili ka hyperinsulinism lua me ka hana pancreatic. Hiki iā ia ke ulu kūʻē i ke kua o ka pōloli, ka make ʻana o ka manawa lōʻihi, galactosemia, ka hana kino kino.
Nā Hoʻomaka
Inā hoʻopiʻi ʻia ke kumu o ka insulin i ke koko o nā wāhine, ʻoi aku ka nui o nā ʻōuli o ke nāwaliwali ʻoi loa (ʻoi paha ka nalowale o ka naʻau ʻana), ʻo cephalgia, ka ʻōpū o ka puʻuwai puʻuwai. Aia kahi makemake o ka ʻaiʻai e ʻai, haʻalulu nā lima a me nā wāwae, haki nā kihi o nā lehelehe.
![](http://img.diabetesentity.com/img/diab-2020/7982/norma-urovnya-insulina-v-krovi-natoshak-5.jpg)
ʻO nā hōʻailona o ka hyperinsulinism e kūlike me nā hōʻailona o ka hypoglycemia
Hiki i ka mea loea ke hoʻoholo i ka paila o ka ʻili, makaʻu, kahi ʻokiʻeha i loko o ka wahine, ka loaʻa ʻana o nā mea hopu. ʻO kekahi manawa he pale hewa o ka orientation i ka manawa a me ka manawa.
Ua hōʻemi ke kiʻekiʻe o ka insulin
ʻO ka ʻoiaʻiʻo o ke kumu o ka insulin i ka wahine i hōʻemi ʻia i ka liʻiliʻi ʻokoʻa hiki ke hoʻoholo ʻia e nā hōʻike aʻe:
- ka koko koko nui (i hoʻopaʻa ʻia ma ka home me kahi glucometer a i ʻole analyzeria ma kahi hana haukapila);
- ua makemake ka mea maʻi e makemake i ka inu, ʻai, urinates ka nui;
- me ka hoʻonui nui ʻana, ʻaʻole e loaʻa ka uku nui, ma ke ʻano ʻē, e emi ka paona;
- itching a me ka maloʻo o ka ʻili, nā pulupulu pōkole i ʻole e ola i kahi wā lōʻihi.
ʻO nā kumu no ka hoʻohaʻahaʻa o ka nui o nā ʻano o ka nui o ka nui o ka hormone i loko o ke koko hiki ke hoʻomā pinepine ʻia a me ka hōʻino maikaʻi i nā haʻaluna o digestible. ʻO nā ʻōlima ʻēpili ke komo pū ʻana me nā maʻi a me nā maʻi, nā kūlana kaumaha, a me ka hemahema o ka lawa ʻana o ke kino.
Pehea e hana ai me nā ʻōkuhi?
Loaʻa nā hemahema lōʻihi a me ka nui o ka insulin i nā ala pathological e pono ai ka hoʻoponopono.
Hoʻonui nā pae insulin
Hiki iā ʻoe ke hoʻonui i nā kiʻekiʻe o ka hormone me ke kōkua o ke kahuli ʻana. Aia ia i loko o ka hoʻomehana therapeutic o nā inanini insulin. Aia kekahi mau pūʻulu o nā lāʻau lapaʻau i hoʻohui ʻia i loko o kekahi ʻano hana.
- nā lā lāʻau o ka lōʻihi o ka hana (Actrapid NM, Humalog, Novorapid);
- Ka lāʻau lapaʻau o ka lōʻihi waena (Protafan NM);
- insulin lʻau lōʻihi (Lantus, Levemir).
![](http://img.diabetesentity.com/img/diab-2020/7982/norma-urovnya-insulina-v-krovi-natoshak-6.jpg)
Hoʻohana ʻia ka analogue synthetic anabine e hoʻihoʻi i nā kiʻekiʻe o ka insulin i loko o ke kino.
ʻO kahi kīʻaha liʻiliʻi-kaʻa kekahi ala ʻē aʻe e hoʻonui ai i ka kiʻekiʻe o ka nui o ka insulin. ʻO kēia kahi ala o ka hoʻoponopono maikaʻiʻai, ma kahi mea liʻiliʻi o nā hāmeʻe e komo i ka mea maʻi. ʻO nā loina o ka meaʻai i ka hōʻole ʻia o ke kō, nā mea inu wai, ʻaiʻai pinepine. Pono ka mea maʻi e ʻai i ka manawa like. Hoʻokumu kēia i ka pancreas e hana "ma ka papa hoʻonohonoho."
ʻAe aʻa ka ʻāʻī, kapaki, nā meaʻai paʻakai e hoʻoneʻe ʻia. Hāʻawi ʻia ka makemake i ka steamed, hoʻolapalapa, ʻala ʻia, nā pā i kālua ʻia.
Pāʻalo mākou i nā hōʻailona
No ka hōʻemi i ka pae o ka insulin, pono ia e hōʻalo i ke kumu o ke kūlana pathological. Inā kumu ka hyperinsulinism i kahi ʻaʻa, pono e haʻalele ʻia me ka chemotherapy hou. Pono e kūkā i nā kumu extra-pancreatic.
Hoʻohana ʻia ka lāʻau lapaʻau i nā manawa wale nō o ka hoʻoulu ʻana o ka hypoglycemic. I kekahi manawa mua, hāʻawi ʻia ka mea maʻi i kekahi mea ʻoluʻolu, a laila huli ʻia ka glucose i loko o kahi vein. I ke kahua coma, ua hoʻohana ʻia nā inikini o glucagon, adrenaline, a me nā tranquilizer.
ʻO ke koena o ka manawa, ke mālama nei ka pae o ka insulin i loko o nā palena i ʻae ʻia e ka meaʻai. He mea nui ia e loaʻa ke kino i ka nui o 150 g o nā hōʻalo i ka pō i kēlā lā i kēia lā, ʻai pinepine ka meaʻai. Pono e hoʻokaʻawale nā mea momona maikaʻi.
ʻO nā loli ʻana o ke kino e kūkākūkā me ka poʻe loea. E kōkua kēia i ka hōʻalo ʻana i ka hoʻomohala ʻana o ka hoʻopiʻi a me ka wikiwiki ʻo ka hoʻoponopono hoʻōla.