インスリノーマー英訳2
43. [Hypoglycaemia caused by tumor of pancreas]44. (Insulinoma)Insulinoma is caused by tumor of pancreas where it provide insulin, and it provide more insulin than enough. Originally, need of insulin hormone is little bit, too many insulin makes sugar in blood absorbed much faster in a cell. That makes sugar in blood lower and exhaust of energy. Since there are no energy left in blood, other area of the body get exhaust of energy also. This is how attack of hypoglycaemia is caused.[Symptoms]Common symptoms of hypoglycaemia is “slobber, stagger (only of feet or all of the body), hollow in the eyes”. From the first stage of this disease, there seem to be no symptom and seems to be normal. Short time attack can be occurred, but since this attack is occurred in very short time, we might overlook it. If you find your ferret with these symptoms written above, see veterinarian. Before you go to veterinary clinic, make a call and consult with veterinarian, and make a reservation of blood test. For exactness of the blood test and to see if your ferret has hypoglycaemia or not, your ferret must be abstain from food from the morning and empty ferret’s stomach. After feeding, glucose level goes up and it cause blood test uncertain. Let’s lesson to what your veterinarian says. 45. However, since hypoglycaemia may make a very bad situation, you might take a blood test without making your ferret’s stomach empty first time, and then take another test with your ferret’s stomach empty next time. Anyway, let’s make a phone call and talk to your veterinarian.46. [Diagnosis]It is common to figure out by blood test to see the glucose level with your ferret’s stomach empty. Although tumor of pancreas is very small and is not able to see, veterinarian might take a picture of echography and x-ray, to see whether it spread to liver or spleen. More over, cause of hypoglycaemia is not only caused by insulinoma, we advise you to examine all of your ferret’s body. Normal ferret’s GLU is 90~100. If GLU is less than 70, your ferret has tendency of hypoglycaemia. If GLU is less than 60, there might by tumor in pancreas of your ferret. If GLU is nearly 40, there might be a danger of life. We heard from many veterinarian says, this indicator can be changed according to your ferret’s situation, so this is only a indication.[What is Insulin?]Insulin is a hormone which makes sugar, which is an energy, to be absorbed by cells. This “energy” goes around the body through blood. When insulin is made, minerals such as chrome and zinc and vitamins are used. More insulin is made, more minerals and vitamins are used, and this is thought to be a reason of why the trouble of adrenal gland is caused with insulinoma.[Emergency treatment of an attack]Let your ferret drink 1~2ml of gym-syrup or strong sugared water (saturated sugar solution). If your ferret has no power to drink, spread it to his gums or tongue. To make strong sugared water, put sugar in the water until saturation, and use the water above. If your ferret lost consciousness, it is danger to make him drink because it might cause choke. When giving your ferret sugar water, be careful not to let the water go into his trachea. It is useful to spread sugar water to his gums. After giving your ferret sugar water, let him lie down with his stomach upside, and head up, so that the airway can be kept. For time of emergency, this might work, but after the attack has passed, please go and see the veterinarian. It is more safety to learn from veterinarian how to treat at the emergency attack.47. [Medical treatment]48. In general, to keep glucose level, we use steroid. Surgical treatment may be done also, however, it is said that pancreas is a organ which can not be touched, otherwise we get into serious trouble. Using steroid for long period of time, it becomes ineffective, so you need to use supplements in parallel. Using natural steroid alike supplement is effective to reduce the dosage of steroid.[Proposal on a diet]１ Characteristic of insulinoma is written above. To reduce making too much insulin, you need to give energy(sugar) slowly and constantly into the blood. For doing this, it is proposed to use protein which is made into energy inside ferret’s body instead of giving them sugar. If you see the table of nutrition written on package of your ferret’s dried food, you can find it can not be add up to 100%. It is supposed to be carbonhydrate (sugar). Didn’t you think it is strange that you see wheat on ingredient and not seeing carbonhydrate on table of nutrition? To reduce the amount of carbonhydrate, you need to elect the dried food with high protein, but if you do so, the amount of fat will increase. So, we advise you to add protein as supplements.２ To make energy by time release, it is said to be effective to feed your ferret little by little, several times a day. Snacks must be chosen carefully, also. With the thought written above, snacks made of protein might be good. Be careful to chose snacks which are less in carbonhydrate.３ If your ferret is old enough to be called senior, you might want to reduce the amount of protein. One of the reason to do so, is digesting protein’s effect on the kidney. Nitrogen in amino acid which compose protein is digested through kidney into urine to go outside of the body. This is ammonia and have effect on kidney when nitrogen changes into ammonia. That is why when your ferret get older, and think about the problem of the kidney, you might want to reduce the amount of protein, though this does not agree to what was written above.４ Fructose, which is a kind of sugar that does not need insulin to digest, can be used. If insulin is not needed, it is not created, but the glucose level can be increased. We advise you to use protein and fructose in parallel.[information] Let’s think why the attack of hypoglycaemia.Insulinoma is a disease which causes low blood level, but also sudden increase of glucose level may cause insulinoma. This is because when the glucose level increases, brain gives pracreas an order to make insulin to lower the glucose level, and this too much insulin makes cells to absorb glucose, and manage hypoglycaemia. To prevent this, use protein enriched food that is made into glucose by time release, and feed them several times a day which can also make glucose by time release.49. Some people uses sugar for insulinoma, risks are written above. In emergency, you may use gum-syrup or sugar water, but be careful that there are risks like written above.50. Conclusions[Using sugar has a risk to cause an attack of hypoglycaemia, because it suddenly increases glucose which cause to make too much insulin.]51. (point1)52. Carbonhydrate is a important nutrition from the point of view of “human”. Carbonhydrate made of carbon and hydrogen are in many kind of forms and most of the time, it can not be digested because the structure of carbonhydrate is a unity of so many atoms.53. (point2)54. On the other hand, sugar such as glucose is a unity of less atoms, and easily absorbed though intestinal wall as energy. This structure of glucose which is a unity of less atoms, is related to how it is easily absorbed by intestines.55. (point3)56. On the other hand, rice get sweet when you bite. This is because starch(carbonhydrate) changes into glucose using enzyme of saliva. This is the reason of the time to feel hungry is longer if you eat rice, because it takes time to change starch into glucose, little by little. But sugar, which can make energy also, is absorbed quickly, that glucose increases quickly and the body has to work so much at one time. Starch is slowly absorbed and made into glucose that body can work slowly and calmly. Japanese eat agricultural product from the ancient time and need more time to absorb so that their intestines get longer. On the other hand, since ferret’s intestines are very short, they can not absorb and make energy by time release using different kind of nutrition of digesting time. Ferret’s source of calories are protein and fat.57. (point4)58. Sugar which is a connection of two saccharides is easily absorbed though intestines to blood. This makes sudden increase of glucose. This is why sugar can be used as “medicine like usage” at emergency attack of hypoglycaemia.59. (point5)60. Then, what happens when you use sugar? The worst effect of sugar is increasing glucose suddenly. This sudden increase of glucose makes too much insulin. This effect is good effect on one side, but bad effect on one side, also.Insulinoma is a situation, that a tumor in pracreas where it makes insulin and pracreas begins to make too much insulin.61. Inconsistent physiology function occurs, which can be true and false.62. With the condition that there are glucose, brain gives an order to a part of the pracreas where it makes insulin “There comes glucose. Make insulin for cells to absorb”. According to the amount of glucose, more and more orders are transmitted, and more and more insulin are made. Then, glucose will be absorbed to the cells with lots of insulin. If this absorbance is done slowly and continuously, it is not a problem, but absorbance of sugar is done quickly with too much insulin, so that continuous absorbance is unable, because it is done with too much insulin, absorbance is done suddenly, and there are no source of glucose(carbonhydrate etc) left. Even if there are time difference giving them sugar, too much insulin are made every time and absorb suddenly, then same thing happens and hypoglycaemia will occure.to be next
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