Hyperinsulinemia imatanthawuza kuti ndipamwamba kwambiri insulini m'magazi ndipo ndizogwirizana ndi mtundu wa shuga wa mtundu wa 2. Kuphatikizanso apo, hyperinsulinemia ndi chinthu chowopsya kukaniza kutetezeka kwa thupi , kunenepa kwambiri, ndi matenda a kagayidwe kake.
Insulini ndi hormone yomwe imagwira ntchito zambiri. Ntchito imodzi yofunika kwambiri pa matenda a shuga ndikutengera shuga kuchokera m'magazi kupita ku maselo kuti agwiritsidwe ntchito mphamvu.
Kwa anthu ena, insulini sagwira bwino ntchito chifukwa maselo a maselo amatsutsana nawo. Izi zimachitika pamene wina akunyamula zolemera kwambiri - mafuta amaletsa insulini kuti asachite ntchito yake. Matendawa amatchedwa insulini kukana.
Chifukwa chake, shuga imamanga m'magazi. Chifukwa thupi silingagwiritsire ntchito shuga kuti likhale mafuta, maselo amakhala ndi njala ndipo mumamva kuti muli ndi njala yambiri kapena muli ndi ludzu. Thupi limayesetsa kuchepetsa miyeso ya shuga mwa kumasula insulini kwambiri. Zotsatira zake, thupi limathera ndi shuga yapamwamba ya magazi ndi ma insulini otetezeka kwambiri.
Ngozi
- Hypoglycemia, insulini kukana, shuga, kunenepa kwambiri
- Matenda a mtima
- Sitiroko
- Kusokonezeka maganizo, nkhawa, ndi kusowa tulo
Zotsatira
- Matenda a shuga akuluakulu monga shuga amayenda
- Mavuto osauka a mafuta , makamaka a LDL (cholesterol choipa), otsika HDL (cholesterol wabwino), ndi kuchulukitsa triglycerides
- Kuthamanga kwa magazi
- Kutopa
- Kulemera kwalemera
- Kuwonjezeka kwa kudya ndi zikhumbo zolimba za chakudya ndi shuga woyengedwa
- Kuvuta kutaya mafuta a thupi
Zizindikiro
Chifukwa chakuti hyperinsulinemia imakhudzana ndi insulini kukana, anthu ambiri omwe ali nayo ali ndi mafuta ambiri amimba, omwe amadziwika kuti mafuta a visceral. Kuonjezera apo, hypoglycemia ikhoza kukhala chizindikiro (makamaka makanda obadwa ndi amayi omwe ali ndi matenda a shuga) kwa kukhalapo kwake momwe angathenso kulemera kwa mafuta a m'magazi, kutopa, phindu lolemera, kulemetsa kulemera kwake, ndi kulakalaka zakudya zamagulu.
Chithandizo
Pamene chikhalidwe ichi chili ndi mtundu wa shuga wa mtundu wa 2, njira zothandizira ndizofanana. Zosintha zamoyo, monga kudya kudya ndi kuchita masewera olimbitsa thupi, zimalimbikitsidwa.
Pakhala kuwonjezeka kwa kafukufuku pa zifukwa ndi chithandizo cha hyperinsulinemia komanso gawo lake pa chitukuko cha mtundu wa shuga 2. Matenda ena a shuga amachulukitsa insulini pamene akuchepetsa shuga. Mankhwala omwe amachepetsa shuga onse m'magazi ndi insulin ndi metformin . Metformin ndi wothandizira woyamba kulandira shuga ya mtundu wachiwiri ndipo iyi ndiyo mankhwala okha omwe amavomerezedwa ndi FDA pofuna kupewa matenda a shuga ndipo amagwiritsidwa ntchito kwa odwala matenda a shuga kapena matenda a shuga.
Mfundo Zokondweretsa
Mu amayi omwe ali ndi pakati omwe ali ndi shuga wosasamalidwa magazi , mwanayo amatha kukhala ndi shuga. Poyankha, makoswe a fetal amapanga kusintha kuti apange insulini yambiri. Atabadwa, mwanayo adzapitirizabe kukhala ndi insulini yochulukirapo kapena hyperinsulinemia ndipo adzasokonezeka mwadzidzidzi m'magazi a shuga. Mwanayo amachizidwa ndi shuga atatha kubereka komanso makilogalamu a insulini nthawi zambiri amatha kubwerera mkati mwa masiku awiri.
> Zosowa
Franz MS RD LD CDE, Marion J. Nthendayi ya Kufooka Kwambiri mu Matenda a Shuga. Matenda a shuga July 2007 20 (3): 133-136
Li MD Ph.D., Chaoyang; Ford MD MPH, Earl; Zhao MD Ph.D., Guixiang; Mokdad Ph.D., Ali H. Kutchuka kwa Pre-shuga ndi Kusonkhana Kwake ndi Kugawidwa kwa Zinthu Zoopsa za Cardiometabolic ndi Hyperinsulinemia Pakati pa Achichepere a US. Chisamaliro cha shuga Feb 2008 3 (2): 342-347
Insulin Resistance Syndrome. American Family Physician.
Sigal MD MPH, Ronald; Kenny Ph.D., Glen; Wasserman Ph.D., David H; Castaneda-Sceppa MD Ph.D .; White MD, Russell. Ntchito / Kuchita Zochita ndi mtundu wa shuga 2. Chisamaliro cha Shuga June 2006 29 (6): 1433-1438
Shanik MD, Michael H; Xu MD, Yuping; Skrha MD DSC, Jan; Dankner MD MPH, Rachel; Zick Ph.D., Yehiel; Roth MD, Jesse. Kutsutsana kwa insulini ndi Hyperinsulinemia. Chisamaliro cha shuga Feb 2008 31 (2): 5262-5268.