{"id":41387,"date":"2023-02-20T13:26:29","date_gmt":"2023-02-20T13:26:29","guid":{"rendered":"https:\/\/poliklinika.rs\/novi-sad\/?p=41387"},"modified":"2023-02-20T13:26:29","modified_gmt":"2023-02-20T13:26:29","slug":"insulinska-rezistencija","status":"publish","type":"post","link":"https:\/\/poliklinika.rs\/novi-sad\/insulinska-rezistencija\/","title":{"rendered":"Insulinska rezistencija"},"content":{"rendered":"

Insulinska rezistencija<\/a> <\/strong>predstavlja metaboli\u010dko stanje koje karakteri\u0161e povi\u0161en nivo insulina u krvi. Nastaje kada \u0107elije postanu otporne (rezistentne) na insulinski signal, tj. na njegovo dejstvo.<\/p>\n

Insulin<\/strong> <\/a>je hormon koji osloba\u0111a pankreas i njegova glavna funkcija je odr\u017eavanje normalnog nivoa glukoze u krvi tako \u0161to vr\u0161i njen transport do \u0107elija gde se ona metaboli\u0161e u energiju. Osim \u0161to obezbe\u0111uje energetske potrebe \u0107elijama, insulin uti\u010de na njihov rast i razvoj. Tako\u0111e, ima preventivnu ulogu, jer spre\u010dava pojavu visokog nivoa \u0161e\u0107era u krvi, koji negativno uti\u010de na nerve, srce, mozak, a mo\u017ee da podstakne i razvoj karcinoma, Alzhajmerove bolesti i drugih oboljenja.<\/p>\n

Ukoliko receptori \u0107elija za ulaz glukoze iz krvi ne reaguju ili slabo slabo reaguju, pankreas po\u010dinje da lu\u010di jo\u0161 insulina, te njegov nivo u krvi raste. Kako se insulin u krvi vezuje za glukozu, a njen transport je onemogu\u0107en, dolazi do pove\u0107anja \u0161e\u0107era u krvi.<\/p>\n

Na\u017ealost, insulinska rezistencija<\/strong> je \u0161iroko rasprostranjen problem. Sa njom se suo\u010dava sve ve\u0107i broj ljudi u svetu, od kojih su mnogi mla\u0111i od 30 godina.<\/p>\n

Za\u0161to se javlja insulinska rezistencija?<\/strong><\/h2>\n

Pravi uzrok nastanka nije u potpunosti otkriven, ali su poznati faktori rizika. Genetika igra va\u017enu ulogu, te su u ve\u0107oj opasnosti osobe kod kojih je u porodici ve\u0107 registrovan dijabetes<\/a> melitusa tipa 2<\/strong>, hipertenzija<\/strong> ili metaboli\u010dki sindrom.<\/p>\n

\"Insulinska<\/p>\n

Ishrana bogata ugljenim hidratima i rafinisanim \u0161e\u0107erima, kao i gojaznost vode\u0107i su faktori koji dovode do problema sa insulinom. U faktore rizika se svrstavaju i nedovoljna fizi\u010dka aktivnost, pu\u0161enje, nezdrave dijete koje dovode do jojo efekta.<\/p>\n

Hroni\u010dni stres, tako\u0111e, je jedan od pokreta\u010da. Mada se i problemi sa spavanjem (apneja) dovode u vezi sa pojavom insulinske rezistencije.<\/p>\n

Dugotrajna terapija nekim lekovima, kao \u0161to su antipsihotici, kortikosteroidi, tiazidni diuretici, beta-blokatori i statini, mogu\u0107i su uzro\u010dnici. \u010cak i pojedine bolesti pove\u0107avaju opasnost. Ku\u0161ingov sindrom, sindorm policisti\u010dnih jajnika, akromegalija – samo su neke od njih.<\/p>\n

Kako prepoznati insulinsku rezistenciju?<\/strong><\/h2>\n

Na\u017ealost, simptomi nisu jasno izra\u017eeni, te mnogi nisu ni svesni da imaju ovaj problem. Ipak, postoje odre\u0111eni znaci koji ukazuju na insulinsku rezistenciju. Tu, pre svega, spadaju prekomerna \u017ee\u0111 i potrebna za jelom odmah nakon obroka, potreba za slatki\u0161ima, kao i u\u010destalo mokrenje ili izbacivanje velike koli\u010dine te\u010dnosti. Zatim, hroni\u010dni umor, pad koncentracije, lo\u0161e raspolo\u017eenje.<\/p>\n

Insulinska rezistencija izaziva i \u010deste glavobolje, poja\u010dano znojenje, visok nivo holesterola i povi\u0161en krvni pritisak<\/a><\/strong>. Mogu se javiti i retinopatija (o\u0161te\u0107enje mre\u017enja\u010de oka) i hiperpigmentacijana ispod pazuha, na vratu, preponama. Dok se kod \u017eena javlja i neredovni menstrualni ciklus.<\/p>\n

Karakteristi\u010dni znak jeste lako dobijanje na kila\u017ei, pri \u010demu su masne naslage posebno izra\u017eene u predelu stomaka.<\/p>\n

Kako se postavlja dijagnoza?<\/strong><\/h2>\n

Insulinska rezistencija<\/strong> mo\u017ee da dovede do nastanka dijabetesa tipa 2<\/strong>, gestacijskog (trudni\u010dkog) dijabetesa, predijabetesa, ali i da ote\u017ea za\u010de\u0107e, pa i da bude uzrok poba\u010daja. Zbog toga je va\u017eno da se na vreme otkrije.<\/p>\n

\"Insulinska<\/p>\n

Dijagnoza se postavlja na osnovu razgovara sa pacijentom o tegobama koje ose\u0107a, navikama u ishrani i porodi\u010dnoj istoriji bolesti. Sledi fizi\u010dki pregled pacijenta, koji uklju\u010duju merenje vrednosti krvnog pritiska i telesne mase. Za kona\u010dnu procenu neophodne su laboratorijske analize – test glukoze, test tolerancije na glukozu, hemoglobin A1c test i provera lipidnog statusa.<\/p>\n

Ukoliko ste primetili neki od navedenih simptoma zaka\u017eite pregled u poliklinici Peki\u0107. Na\u0161 tim<\/a> lekara postavi\u0107e pravovremenu dijagnozu i pomo\u0107i \u0107e vam da insulinsku rezistenciju dr\u017eite pod kontrolom.<\/strong><\/em><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Insulinska rezistencija predstavlja metaboli\u010dko stanje koje karakteri\u0161e povi\u0161en nivo insulina u krvi. Nastaje kada \u0107elije postanu otporne (rezistentne) na insulinski signal, tj. na njegovo dejstvo. Insulin je hormon koji osloba\u0111a pankreas i njegova glavna funkcija je odr\u017eavanje normalnog nivoa glukoze u krvi tako \u0161to vr\u0161i njen transport do \u0107elija gde se ona metaboli\u0161e u energiju. […]<\/p>\n","protected":false},"author":1,"featured_media":41390,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[52],"tags":[76,259,75,103,159,64,59,260,71],"class_list":["post-41387","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-dijabetes","tag-endokrinolog","tag-insulinska-rezistencija","tag-poliklinika","tag-poliklinika-beograd","tag-poliklinika-novi-sad","tag-poliklinika-pekic","tag-pregled-endokrinologa","tag-secer"],"acf":[],"yoast_head":"\nInsulinska rezistencija || POLIKLINIKA PEKI\u0106<\/title>\n<meta name=\"description\" content=\"Insulinska rezistencija predstavlja povi\u0161en nivo insulina u krvi. 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