THE insulin ndi timadzi opangidwa mwachilengedwe ndi kapamba poyankha kuwonjezeka kwa shuga (glucose) m'magazi.

Insulin ili ndi zochita " hypoglycemia "Ndiko kuti, imachepetsa shuga m'magazi, shuga m'magazi. M'malo mwake, "amauza" maselo am'thupi kuti amwe glucose, zomwe zimathandiza kuchepetsa kuchuluka kwa kuzungulira m'magazi.

Imakhala ndi zotsatira zotsutsana ndi glucagon, mahomoni ena a kapamba omwe amayambitsa kuchuluka kwa magazi shuga (ntchito ya hyperglycemia). Insulin ndi glucagon zimagwirira ntchito limodzi kuti shuga wamagazi azikhala pafupifupi 1g/L nthawi zonse.

Mu shuga mellitus, izi zimasokonekera. Insulin imapangidwa mocheperako, ndipo / kapena ma cell sakhudzidwa nayo (zotsatira zake zimafooka).

Mlingo wa insulin m'magazi (insulinemia) sichigwiritsidwa ntchito pozindikira kapena kuwunika matenda a shuga (omwe amatengera kuwunika kwa shuga wamagazi ndi hemoglobin ya glycated).

Komabe, zitha kukhala zothandiza kuyesa insulini m'magazi kuti mudziwe mphamvu ya kapamba kutulutsa insulini (izi zitha kukhala zothandiza kwa dokotala pamagawo ena a matenda a shuga).

Kusanthula uku kungathenso kuchitidwa pakachitika hypoglycemia mobwerezabwereza. Itha kuthandizira kuzindikira insulinoma (chotupa chosowa cha endocrine pancreatic), mwachitsanzo.

Nthawi zambiri, adotolo amafotokoza za "pancreatic assessment", kutanthauza kusanthula kwa mahomoni onse a kapamba kuphatikiza insulin, C-peptide, proinsulins ndi glucagon.

Insulin imayesedwa mwa kutenga magazi mu labotale yowunikira zamankhwala. Ndikofunikira kusala kudya kuti muyezetse magazi kuti mudziwe mlingo wa "basal".

Komabe, kusanthula kumeneku nthawi zambiri kumakhala kosakwanira. Popeza katulutsidwe ka insulini kamakhala kosiyana kwambiri mwa munthu yemweyo masana, kutanthauzira kwapayekha kumakhala kovuta. Choncho, kuyezetsa kwa insulin kumachitika pambuyo poyesedwa mwamphamvu monga oral hyperglycemia (OGTT), pomwe wodwalayo amapatsidwa njira yotsekemera kwambiri kuti amwe kuti awone momwe thupi lake likuyankhira.

Zotsatira zidzapereka chitsogozo cha dokotala pazochitikazoinsulinosécretion, mwachitsanzo, kupanga kwa insulin kapamba, makamaka mutatha "chakudya" chokoma.

Monga chiwongolero, m'mimba yopanda kanthu, insulinemia nthawi zambiri imakhala yochepera 25 mIU / L (µIU / mL). Ndi pakati pa 30 ndi 230 mIU / L mphindi 30 pambuyo pa kulowetsedwa kwa glucose.

Pankhani ya insulinoma, mwachitsanzo, katulutsidwe kameneka kamakhala kokwera kwambiri, mosalekeza, zomwe zingayambitse hypoglycemia yobwerezabwereza.

Dokotala yekha ndi amene angatanthauzire zotsatira ndikukupatsani matenda.