Insulin ka Mali

Litaba

• Insulin ha e etsoa tlhahlobo ea mali ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka insulin ha ke etsa liteko tsa mali?
• Ho etsahalang nakong ea insulin ha ho etsoa tlhahlobo ea mali?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke lokelang ho e tseba ka insulin ha ho etsoa liteko tsa mali?
• Litšupiso

Insulin ha e etsoa tlhahlobo ea mali ke eng?

Teko ena e lekanya boholo ba insulin maling a hao.Insulin ke hormone e thusang ho tsamaisa tsoekere maling, e tsejoang e le tsoekere, ho tloha maling a hao ho ea liseleng tsa hau. Tsoekere e tsoa lijong tseo u li jang le tseo u li noang. Ke mohloli o moholo oa matla oa 'mele oa hau.

Insulin e bapala karolo ea bohlokoa ho boloka tsoekere e le maemong a nepahetseng. Haeba maemo a tsoekere a phahame haholo kapa a le tlase haholo, a ka baka mathata a tebileng a bophelo bo botle. Litekanyo tsa glucose tse sa tloaelehang li tsejoa e le:

• Hyperglycemia, maemo a tsoekere ea mali a phahameng haholo. Ho etsahala ha 'mele oa hau o sa etse insulin e lekaneng. Haeba ho se na insulin e lekaneng, tsoekere e ke ke ea kena liseleng tsa hau. E lula maling ho fapana.
• Hypoglycemia, maemo a tsoekere ea mali a leng tlase haholo. Haeba 'mele oa hau o romela insulin e ngata haholo maling, tsoekere e ngata haholo e tla kena liseleng tsa hau. Sena se siea tlase maling.

Lefu la tsoekere ke lona sesosa se tloaelehileng sa maemo a sa tloaelehang a tsoekere. Hona le mefuta e 'meli ea lefu la tsoekere.

• Mofuta oa 1 oa lefu la tsoekere. Haeba u na le lefu la tsoekere la mofuta oa 1, 'mele oa hau o etsa insulin e nyane kapa ha o na eona ho hang. Sena se ka baka hyperglycemia.
• Mofuta oa 2 oa lefu la tsoekere. Haeba u na le lefu la tsoekere la mofuta oa bobeli, 'mele oa hau o ntse o ka khona ho etsa insulin, empa lisele tsa' mele oa hau ha li arabele hantle ho insulin 'me ha li khone ho nka tsoekere e lekaneng maling a hao habonolo. Sena se bitsoa insulin ho hanyetsa.

Ho hanyetsa insulin hangata ho hlaha pele ho lefu la tsoekere la mofuta oa 2. Qalong, ho hanyetsa insulin ho etsa hore 'mele o etse insulin e eketsehileng, ho etsa insulin e sa sebetseng. Insulin e eketsehileng maling e ka baka hypoglycemia. Empa ts'oaetso ea insulin e lula e mpefala ha nako e ntse e feta. Qetellong, e fokotsa bokhoni ba 'mele oa hau oa ho etsa insulin. Ha insulin e theoha, tsoekere e maling ea phahama. Haeba maemo a sa khutlele setloaeling, o ka fumana mofuta oa 2 oa lefu la tsoekere.

Mabitso a mang: insulin ea ho itima lijo, insulin serum, insulin e felletseng le e sa lefelloeng

E sebelisetsoa eng?

Hangata insulin ea tlhahlobo ea mali e sebelisoa ho:

• Fumana sesosa sa hypoglycemia (tsoekere e tlase maling)
• Hlahloba kapa hlahloba leihlo la insulin
• Lekola maemo a batho ba nang le lefu la tsoekere la mofuta oa 2
• Fumana hore na ho na le mofuta oa hlahala masakaneng, a tsejoang ka hore ke insulinoma. Haeba hlahala e tlositsoe, tlhahlobo e ka sebelisoa ho bona hore na e entsoe ka katleho.

Ka linako tse ling insulin e hlahlobang mali e sebelisoa hammoho le liteko tse ling ho thusa ho fumana le ho lekola lefu la tsoekere la mofuta oa 1. Liteko tsena tse ling li ka kenyelletsa tlhahlobo ea glucose le hemoglobin AIC.

Hobaneng ha ke hloka insulin ha ke etsa liteko tsa mali?

U kanna oa hloka insulin tekong ea mali haeba u na le matšoao a hypoglycemia (tsoekere e tlase maling). Tsena li kenyelletsa:

• Ho fufuleloa
• Ho thothomela
• Ho otla ha pelo ka tsela e sa tloaelehang
• Pherekano
• Botsoa
• Pono e lerootho
• Tlala e feteletseng

U kanna ua hloka teko ena haeba liteko tse ling, joalo ka teko ea tsoekere ea mali, li bontša hore u na le tsoekere e tlase maling.

Ho etsahalang nakong ea insulin ha ho etsoa tlhahlobo ea mali?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Mohlomong u tla hloka ho itima lijo (u se ke ua ja kapa ua noa) lihora tse robeli pele ho tlhahlobo.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba maemo a hau a insulin a le holimo haholo, ho ka bolela hore o na le:

• Mofuta oa 2 oa lefu la tsoekere
• Ho hanyetsa insulin
• Hypoglycemia
• Cushing's syndrome, lefu la litšoelesa tsa adrenal. Litšoelesa tsa adrenal li etsa lihormone tse thusang 'mele ho theola mafura le protheine.
• Insulinoma (hlahala ea pancreatic)

Haeba maemo a insulin a ne a le tlase haholo, ho ka bolela hore o na le:

• Hyperglycemia (tsoekere e phahameng maling)
• Mofuta oa 1 oa lefu la tsoekere
• Pancreatitis, ho ruruha ha manyeme

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke lokelang ho e tseba ka insulin ha ho etsoa liteko tsa mali?

Insulin le tsoekere lia sebetsa. Kahoo mofani oa hao oa tlhokomelo ea bophelo a ka bapisa insulin ea hau le sephetho sa mali le sephetho sa liteko tsa tsoekere ea mali pele a ka fumanoa.

Litšupiso

1. Mokhatlo oa American Diabetes Association [Inthaneteng]. Arlington (VA): Mokhatlo oa Amerika oa lefu la tsoekere; c1995–2019. Hypoglycemia (Glucose e tlaase ea mali); [e ntlafalitsoeng 2019 Feb 11; e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html
2. Mokhatlo oa American Diabetes Association [Inthaneteng]. Arlington (VA): Mokhatlo oa Amerika oa lefu la tsoekere; c1995–2019. Lisebelisoa tsa Insulin; [e ntlafalitsoeng 2015 Jul 16; e qotsitsoeng ka la 2019 Feb 20]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/insulin-basics.html
3. Kliniki ea Cleveland [Inthanete]. Cleveland (OH): Kliniki ea Cleveland; c2019. Lefu la tsoekere: Glossary; [e qotsitsoeng ka la 2019 Tlhakubele 20]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://my.clevelandclinic.org/health/articles/9829-diabetes-glossary
4. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Insulin; leq. EA-344-TK
5. Johns Hopkins Medicine [Inthanete]. Univesithi ea Johns Hopkins; c2019. Laeborari ea Bophelo: Lefu la tsoekere; [e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/pediatrics/diabetes_in_children_22,diabetesmellitus
6. Johns Hopkins Medicine [Inthanete]. Univesithi ea Johns Hopkins; c2019. Laeborari ea Bophelo: Insulinoma; [e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/digestive_disorders/insulinoma_134,219
7. Bophelo ba Bana ho tsoa Nemours [Marang-rang]. Jacksonville (FL): Motheo oa Nemours; c1995–2019. Teko ea Mali: Insulin; [e qotsitsoeng ka la 2019 Tlhakubele 20]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://kidshealth.org/en/parents/test-insulin.html
8. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Cushing Syndrome; [e ntlafalitsoeng 2017 Nov 29; e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/cushing-syndrome
9. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Insulin; [e ntlafalitsoeng 2018 Dec 18; e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/insulin
10. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Pancreatitis; [e ntlafalitsoeng 2017 Nov 28; e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/pancreatitis
11. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2019. Mofuta oa 1 oa lefu la tsoekere: Tlhahlobo le kalafo; 2017 Aug 7 [e qotsitsoeng ka 2019 Feb 20]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/type-1-diabetes/diagnosis-treatment/drc-20353017
12. Mayo Clinic Laboratories [Inthanete]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1995–2019. ID ea Teko: INS: Insulin, Serum: Clinical and Interpretive; [e qotsitsoeng ka la 2019 Feb 20]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/8664
13. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2019. Lefu la tsoekere Mellitus (DM); [e qotsitsoeng ka la 2019 Tlhakubele 20]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/diabetes-mellitus-dm-and-disorders-of-blood-sugar-metabolism/diabetes-mellitus-dm
14. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng ka la 2019 Tlhakubele 20]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
15. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Khanyetso ea Insulin le Prediabetes; [e qotsitsoeng ka la 2019 Tlhakubele 20]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance
16. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2019. Health Encyclopedia: Kakaretso le ea mahala ea Insulin; (Mali) [e qotsitsoeng 2019 Feb 20]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=insulin_total_free
17. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Khanyetso ea Insulin: Kakaretso ea Sehlooho; [e ntlafalitsoeng 2017 Dec 7; e qotsitsoeng ka la 2019 Feb 20]; [li-skrini tse ka bang 2].

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.