Umphumela weSomogyi - Izimbangela, Izimpawu, Ukuxilongwa Nokwelashwa

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Umphumela weSomogyi, owaziwa nangokuthi umphumela obuyile, wenzeka kubantu abanesifo sikashukela. Yize kubikwe kabanzi, le nto iyaqhubeka nokuhlala inengxabano njengoba kusenobufakazi obuncane kakhulu besayensi bokucabanga ngemibono yomphumela weSomogyi ^[1] .

Lapho umuntu onesifo sikashukela eselashwa nge-insulin, uyaqhubeka nokukala amazinga kashukela egazini ephindaphindeka kaningana ngosuku. Ngokuya ngemiphumela, umuntu udinga ukuthatha i-insulini ukwehlisa amazinga kashukela akhuphukile.

Uma uthatha i-insulini ngaphambi kokuyolala futhi usavuka ngamazinga aphezulu kashukela egazini, khona-ke le nto ibizwa njengomphumela weSomogyi ^[okubili] .

Funda ukuze wazi kabanzi ngalo mphumela, izimbangela zawo, ukuthi wehluke kanjani ezintweni zokuntwela kokusa, ukuthi ungatholakala kanjani, welashwe futhi uvinjelwe.

Uyini Umphumela weSomogyi?

Lesi simo sibikwa kakhulu ngabantu abanesifo sikashukela sohlobo 1 kunabantu abanesifo sikashukela sohlobo 2 ^[3] . Kulokhu, abantu abanoshukela ophansi wegazi ngezikhathi zakusihlwa bavame ukukhombisa umphumela obuyayo emzimbeni odala amazinga aphezulu e-glucose ekuseni ngovivi.

Lo mkhuba uqanjwe ngomcwaningi, uMichael Somogyi, owuchaze kuqala. Uchaze lo mphumela njengendlela yokusebenza yomzimba yokwandisa izikhathi zoshukela wegazi ophansi ^[4] . Ubike ukuthi esinye sezimbangela zalokhu kungaba umthamo ophakeme kakhulu we-insulin ngaphambi nje kokulala.

I-Hypoglycemia yenzeka lapho i-insulin ibangela ukuncipha kwenani le-glucose egazini ^[5] . Lokhu kwenza umzimba ucindezeleke, ekugcineni kubangele ukuphuma kwama-hormone okuxineka i-epinephrine, i-cortisol ne-hormone yokukhula. I-endocrine hormone 'glucagon' nayo iyakhishwa.

I-glucagon ekhishiwe ibangela isibindi ukuguqula izitolo ze-glycogen zibe yi-glucose. Lokhu kubangela ukuphakama okuphezulu kwamazinga kashukela egazini. Ngaphezu kwalokho, ama-hormone okucindezela agcina ushukela wegazi emazingeni aphakanyisiwe. Lokhu kwenzeka lapho amaseli engaphenduli kangako ku-insulin. Lesi simo sibizwa ngokuthi ukumelana ne-insulin ^[6] .

Izimpawu Zomphumela weSomogyi

Uphawu lokuqala lwalesi simo amazinga aphezulu eglucose yegazi ngokushesha nje lapho uvuka ekuseni (ezingaphenduli ekwandisweni kwemithamo ye-insulin). Ezinye izimpawu yilezi ^[7] Ngokulandelayo:

• Ukujuluka ebusuku
• Ukushaya kwenhliziyo okusheshayo
• Evuka enekhanda
• Izinga le-glucose eliphansi cishe nge-2 am / 3 am
• Ukubona okufiphele
• Ukudideka
• Ukukhathala
• Umlomo owomile
• Isiyezi
• Omile
• Ukwanda kwesifiso

Izimbangela Zomphumela weSomogyi

Iningi labantu abanesifo sikashukela, basebenzisa imijovo ye-insulin ukugcina amazinga eglucose egazini elawulwa. Kodwa-ke, izinkinga zingenzeka uma umthamo we-insulin ojojowe ungalungile noma ulungele izimo zempilo yomuntu. Ngokufanelekile, izimbangela zomphumela weSomogyi yilezi ^[8]

• ukuthatha i-insulin eningi kakhulu noma
• ukungadli ngokwanele ngaphambi kokulala.

Izici ezimbili ezingenhla zingadala ukuthi amazinga eglucose egazi ehle kakhulu. Lokhu kwenza umzimba uphendule ngendlela yokuthi uqale ukhiphe ama-hormone ukukhuphula amazinga kashukela egazini. Ngezinye izikhathi, lokhu kubangela amazinga kashukela anyuke kakhulu, aholele ku-hyperglycemia.

Ukuxilongwa Komphumela weSomogyi

Uma singekho esinye isizathu sokukhuphuka kwamazinga kashukela egazini ekuseni, kungenzeka kakhulu ngenxa yomphumela weSomogyi. Esinye isibonakaliso ukumelana nokwelashwa nge-insulin eyengeziwe eyenzeka nge-hyperglycemia yasekuseni ^[9] .

Ukuqopha ukufundwa kweglucose egazini lakho phakathi nobusuku obuthile kungakusiza ekutholeni umphumela weSomogyi kalula.

Abantu kufanele bakwenze umkhuba ukuhlola amazinga kashukela egazini labo ^[10]

• ngaphambi kokulala
• nganoma yisiphi isikhathi phakathi kuka-2 ekuseni no-3 ekuseni
• lapho uvuka

Uma ubona ukuthi unezinga eliphansi le-glucose cishe ngo-3 ekuseni kepha ufunda kakhulu ushukela wegazi lapho uvuka, kungenzeka ukuthi ubhekene nomphumela weSomogyi.

Kungakuhle ukusebenzisa uhlelo oluqhubekayo lokuqapha i-glucose (CGM) ^{[ishumi nanye]} . Kufanele uxoxe nalokhu kungenzeka nodokotela wakho. Le ndlela ifaka ukufakwa kwenzwa encane yeshukela ngaphansi kwesikhumba sakho. Lokhu kuvame ukwenziwa ngudokotela. Imininingwane erekhodiwe ithunyelwa kudivayisi yokuqapha. Lokhu kulandelela amazinga kashukela futhi kukusize wazi ukuthi amazinga aphakeme kakhulu noma aphansi kakhulu.

Ukwelashwa Nokuvimbelwa Komphumela weSomogyi

Ukugwema ukuthuthukiswa kwe-hypoglycemia kuyindlela engcono kakhulu (futhi ukuphela kwayo) yokuvimbela umphumela weSomogyi.

Izinketho zokwelashwa zifaka ^[12]

• ukwehlisa umthamo we-insulin othathwe ngaphambi kokulala,
• ukubeka kahle ukuphathwa kwe-insulin,
• Ukushintsha uhlobo (lomkhiqizo) lwe-insulin esetshenziswayo,
• ukuguqula izinto zokuphila (ukuzivocavoca, ukucindezeleka) kanye
• ukudla isidlo esincane ngenkathi uhambisa isilinganiso se-insulin sakusihlwa.

Izinhlelo ze-CGM zisebenza kahle kakhulu futhi zingabekwa ngudokotela wakho ukuphatha isikhathi eside isifo sikashukela eceleni komphumela weSomogyi. Uhlelo lwe-CGM lusebenza ngokuxwayisa isiguli nge-hypoglycemia noma i-hyperglycemia ngokusebenzisa ama-alamu ^[13] .

Ngokuqapha okuqhubekayo nokuqhubekayo, udokotela wakho angakucela ukuthi ugcine isisindo sakho singaphansi kokuhlolwa. Hhayi lokho kuphela, amazinga ephrotheni elibomvu egazi elibizwa nge-hemoglobin A1C ^[14] (lokhu kuhlangana ne-glucose) kungadinga futhi ukubhekwa ngokuhamba kwesikhathi.

Izingozi zikaSomogyi zingakhuphuka uma umuntu kufanele athathe isilinganiso esengeziwe se-insulin ngaphambi nje kokulala. Ezimweni ezinjalo, ukuqopha amazinga kashukela egazini cishe ngo-3 ekuseni nsuku zonke, okungenani izinsuku ezimbalwa zokuqala, kungadingeka. Uma kunezinkinga, thintana nodokotela ngokushesha, ongahle ancome ukuthi kwandiswe umthamo we-insulin kancane kancane ukuze umzimba uthole isikhathi sokuzivumelanisa.

Ukuthi Umphumela WeSomogyi Uhluke Kanjani Ekuboneni Kokusa ^{[ishumi nanhlanu]}

Abantu abaningi bayadideka phakathi komphumela weSomogyi kanye nokwenzeka kokuntwela kokusa (umphumela wokusa). Lokhu kunjalo ngoba, njengomphumela weSomogyi, umphumela wokuntwela kokusa wenza nomuntu abe ne-hyperglycemia (ephakamisa amazinga kashukela egazini) ekuseni. Kodwa-ke, isizathu esingemuva kwe-hyperglycemia siyehluka esimweni somphumela wokusa.

Imbangela yokuvela komphumela wokuntwela kwezulu imbangela eyenzeka ngenxa yokwehla kwamazinga e-insulin nokwanda kwamahomoni okukhula (okudala ukukhuphuka kwamazinga kashukela egazini ngezikhathi zasekuseni).

Ukwehlukanisa phakathi komphumela weSomogyi nomphumela wokusa, umuntu kudingeka ahlole amazinga kashukela egazini ngo-3 ekuseni alandelwe isivivinyo ekuseni futhi. Uma ukufundwa kukashukela egazini kuphansi ngo-3 ekuseni, khona-ke kukhombisa umphumela weSomogyi. Ngakolunye uhlangothi, uma ukufundwa kukashukela egazini kuphakeme noma kujwayelekile ngo-3 ekuseni, kukhombisa ukwenzeka kokuntwela kokusa.

Ukuphetha ...

Njalo qinisekisa ukuthi ukhuluma nodokotela wakho ngaphambi kokwenza ushintsho kumthamo wakho we-insulin. Lokhu kubaluleke kakhulu uma uhlangabezana nokushintshashintsha kweshukela egazini elibukhali.

Umbono weziguli ezinesifo sikashukela muhle kakhulu uma umphumela weSomogyi ukhonjwa ngesikhathi futhi uphethwe kahle. Kanye nokuphathwa kwe-insulin, kubalulekile ukuthi iziguli ezinjalo zilawule indlela yazo yokuphila kahle, zibhekele izinto ezinjengokudla nokuzivocavoca umzimba.

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