Rashin juriya na insulin: menene menene, gwaje-gwaje, dalilai da magani

Wadatacce

• Jarrabawar da ke taimakawa wajen ganowa
• 1. Gwajin rashin haƙuri na glucose na baka (TOTG)
• 2. Gwajin glucose mai azumi
• 3. Alamar HOMA
• Abubuwan da ke iya haifar da juriya na insulin
• Yadda ake yin maganin

Ciwon juriya na insulin yana faruwa ne lokacin da aikin wannan hormone, na ɗaukar glucose daga jini zuwa cikin sel, ya ragu, wanda ke haifar da glucose ya taru a cikin jini, yana haifar da ciwon sukari.

Rashin jituwa ta insulin galibi ana haifar dashi ne ta hanyar haɗuwa da tasirin gado tare da wasu cututtuka da halaye na mutum, kamar kiba, rashin aiki a jiki da ƙarar cholesterol, alal misali. Ana iya gano juriya na insulin ta hanyar gwajin jini daban, kamar su gwajin glucose na jini, bayanan HOMA ko gwajin haƙuri na haƙuri na baki.

Wannan ciwo wani nau'i ne na pre-ciwon suga, saboda idan ba a magance shi ba kuma aka gyara shi, tare da sarrafa abinci, rage nauyi da motsa jiki, zai iya zama cutar sikari ta biyu.

Jarrabawar da ke taimakawa wajen ganowa

Rashin jituwa ta insulin yawanci baya haifar da alamomin, don haka ana iya yin gwajin jini daban don tabbatar da cutar:

1. Gwajin rashin haƙuri na glucose na baka (TOTG)

Wannan gwajin, wanda aka fi sani da binciken ƙwayar glycemic, ana yin shi ta hanyar auna ƙimar glucose bayan shayar da kusan 75 g na ruwa mai ɗaci. Za'a iya yin fassarar jarrabawar bayan awa 2, kamar haka:

• Na al'ada: ƙasa da 140 mg / dl;
• Rashin insulin: tsakanin 140 zuwa 199 mg / dl;
• Ciwon sukari: daidai yake ko ya fi 200 mg / dl.

Yayinda juriya ta insulin ke kara tabarbarewa, ban da karin sinadarin glucose bayan an ci abinci, ana kuma kara shi da azumi, saboda hanta na kokarin ramawa saboda rashin suga a cikin kwayoyin halitta. Sabili da haka, ana iya yin gwajin glucose mai azumi.

Duba ƙarin cikakkun bayanai game da gwajin rashin haƙuri na baka na baka.

2. Gwajin glucose mai azumi

Ana yin wannan gwajin bayan azumi na awanni 8 zuwa 12, kuma ana tattara samfurin jini sannan a kimanta shi a dakin gwaje-gwaje. Abubuwan da aka ambata sune:

• Na al'ada: ƙasa da 99 mg / dL;
• Canza glucose mai sauri: tsakanin 100 mg / dL da 125 mg / dL;
• Ciwon sukari: daidai yake ko mafi girma fiye da 126 mg / dL.

A wannan lokacin, ana iya sarrafa matakan glucose, saboda jiki yana motsa ƙosar don samar da mafi yawan insulin, don rama juriya ga aikinta.

Duba yadda ake yin gwajin glucose na jini da sauri da kuma yadda za'a fahimci sakamakon.

3. Alamar HOMA

Wata hanyar gano asirin insulin shine a kirga lissafin HOMA, wanda lissafi ne da aka yi don tantance alakar tsakanin adadin sukari da yawan insulin a cikin jini.

Matsayi na yau da kullun na HOMA index, gaba ɗaya, kamar haka:

• Darajar Tunanin HOMA-IR: ƙasa da 2.15;
• Darajar Tunanin HOMA-Beta: tsakanin 167 da 175.

Waɗannan ƙimar martabar na iya bambanta da dakin gwaje-gwaje, kuma idan mutum yana da veryarfin Jikin Jiki ƙwarai (BMI), sabili da haka, ya kamata koyaushe likita ya fassara shi.

Duba abin da ya dace da yadda za a lissafa alamun HOMA.

Abubuwan da ke iya haifar da juriya na insulin

Wannan cututtukan, a mafi yawan lokuta, yana bayyana ne ga mutanen da suka rigaya suka sami damar ƙaddarawa, yayin samun wasu familyan uwansu waɗanda suke da cutar ko suke da ciwon sukari, misali.

Koyaya, zai iya haɓaka har ma a cikin mutanen da ba su da wannan haɗarin, saboda ɗabi'un rayuwa waɗanda ke haifar da lalacewar abin da ke faruwa, kamar su kiba ko ƙarar ciki, cin abinci tare da yawan carbohydrates, rashin motsa jiki, hawan jini ko ƙarar cholesterol da triglycerides.

Bugu da kari, sauye-sauyen kwayoyin, musamman ma a cikin mata, na iya kara damar bunkasa insulin, kamar a matan da ke da cutar yoyon fitsari, ko PCOS. A cikin waɗannan matan, canje-canjen da ke haifar da rashin daidaituwa na al'ada da haɓaka haɓakar asrogenic shima yana haifar da dysregulation na aikin insulin.

Yadda ake yin maganin

Idan aka yi daidai maganin jure insulin, ana iya warkewa kuma ta haka a hana ci gaban ciwon sukari. Don magance wannan yanayin, ana buƙatar jagora daga babban likita ko endocrinologist, kuma ya ƙunshi rage nauyi, aiwatar da abinci da motsa jiki da sa ido kan matakan glucose na jini, tare da kulawar likita kowane watanni 3 ko 6. Duba yadda ya kamata abinci ya kasance ga waɗanda ke da pre-ciwon sukari.

Likita na iya kuma, a cikin yanayin haɗarin da ke tattare da ciwon sikari sosai, ya ba da magunguna irin su metformin, wanda magani ne da ke taimakawa wajen sarrafa samar da glucose ta hanta da ƙara ƙwarewar insulin, saboda yawan amfani da glucose ta tsokoki. Koyaya, idan mutum ya kasance mai tsauri a cikin magani tare da abinci da motsa jiki, yin amfani da magunguna bazai zama dole ba.