ọdịnaya
Nyocha insulin
Nkọwa nke insulin
THE insulin bụ a hormone eke emepụtara site na pancreas na nzaghachi maka mmụba nke ọkwa shuga (glucose) n'ime ọbara.
Insulin nwere ihe na-arụ ọrụ. hypoglycemic mmetụta ", Ya bụ, ọ na-ebelata ọkwa shuga dị n'ọbara, ọkwa shuga dị n'ọbara. N'ezie, ọ "na-agwa" mkpụrụ ndụ nke ahụ ka ha nweta glucose, nke na-enyere aka belata ọkwa na-ekesa n'ọbara.
Ọ nwere mmetụta dị iche na glucagon, hormone pancreatic ọzọ nke na-akpata mmụba ọbara glucose (ọrụ hyperglycemic). Insulin na glucagon na-arụkọ ọrụ ọnụ iji mee ka ọ̀tụ̀tụ̀ shuga dị n'ọbara dị ihe dị ka 1 g / L mgbe niile.
Na ọrịa shuga mellitus, nguzozi a na-ewe iwe. A na-emepụta insulin n'obere ntakịrị, yana / ma ọ bụ sel ndị ahụ anaghị emetụ ya n'ahụ (mmetụta ya na-ebelata).
Kedu ihe kpatara eji anwale insulin?
Usoro ọgwụgwọ insulin n'ime ọbara (insulinemiaA naghị eji ya maka nyocha ma ọ bụ nyochaa ọrịa shuga (nke dabere na nyocha nke shuga ọbara na haemoglobin glycated).
Agbanyeghị, ọ nwere ike ịba uru ịnwale insulin dị n'ọbara iji mara ikike pancreas nwere imepụta insulin (nke a nwere ike ịba uru maka dọkịta n'oge ụfọdụ nke ọrịa shuga).
Enwere ike ịme nyocha a ma ọ bụrụ na enwere hypoglycemia ugboro ugboro. Ọ nwere ike inye aka chọpụta insulinoma (akpụ akpụ endocrine pancreatic akpụ), dịka ọmụmaatụ.
Ọtụtụ mgbe, dọkịta na-enye iwu "ntụle pancreatic", ya bụ, nyocha nke homonụ pancreatic niile gụnyere insulin, C-peptide, proinsulins na glucagon.
Kedu nsonaazụ m nwere ike ịtụ anya na nyocha insulin?
A na-enyocha insulin site n'ịba ọbara n'ụlọ nyocha nyocha ahụike. Ọ dị mkpa na-ebu ọnụ maka ule ọbara iji mara usoro "basal".
Agbanyeghị, nyocha a na-abụkarị ezughi oke. Ebe nzuzo nke insulin na-agbanwe nke ukwuu n'otu onye ahụ n'ụbọchị, ọ na-esiri ike ịkọwa usoro ọgwụgwọ dịpụrụ adịpụ. Ya mere, a na-eme nnwale insulin mgbe a na-anwale ule siri ike dị ka ọnụ hyperglycemia (OGTT), ebe a na-enye onye ọrịa ihe ngwọta dị ụtọ ka ọ ṅụọ ka ọ hụ ka ahụ ha si eme.
Kedu nsonaazụ m nwere ike ịtụ anya na nyocha insulin?
Nsonaazụ ga-enye dọkịta nduzi nainsulinosécrétion, ya bụ, mmepụta insulin site na pancreas, karịsịa mgbe "nri" dị ụtọ.
Dịka ntuziaka, na afọ efu, insulinemia na-adịkarị ala karịa 25 mIU / L (µIU / ml). Ọ dị n'etiti 30 na 230 mIU / L nkeji 30 ka nchịkwa glucose gasịrị.
N'ihe banyere insulinoma, dịka ọmụmaatụ, ihe nzuzo a ga-adị elu nke ukwuu, na-aga n'ihu, nke ga-ebute hypoglycemia ugboro ugboro.
Naanị dọkịta nwere ike ịkọwa nsonaazụ ya wee nye gị nyocha.
Gụọ kwa: Akwụkwọ akụkọ anyị gbasara hypoglycemia Ihe niile gbasara ụdị ọrịa shuga 3 niile |