Isifo sikashukela i-mellitus yisifo esikhohlisa kakhulu, ngoba kuze kube namuhla umuthi womhlaba wonke awukenziwa. Ukuphela kwendlela yokuthuthukisa impilo yeziguli ukwenza kusebenze ukukhiqizwa kwe-insulin ngezindlela ezahlukahlukene.
Kunezinhlobo ezi-2 zesifo sikashukela, futhi uhlobo ngalunye lube nezimpawu ezithile. Ngakho-ke, ngohlobo lokuqala lwesifo, ukoma, isicanucanu, ukukhathala kanye nokudla okungenampilo kuqhamuka.
Izimpawu zesifo sikashukela sohlobo 2 zifaka isikhumba esidla ubhedu, ukungaboni kahle, ukukhathala, ukuphazamiseka kokulala, ubuthakathaka bemisipha, ukuqaqamba kwamaphethelo, ukomela umlomo owomile kanye nokwenza kabusha okungalungile. Kodwa-ke, lesi sithombe somtholampilo esimenyezelwe ngesifo sikashukela, esisesigabeni sokuqala sentuthuko, asiveli.
Kuyaqapheleka ukuthi lapho kusakhiwa lesi sifo, isiguli sibhekene nezimpawu ezingemnandi nje kuphela, kepha futhi nezindlela ezahlukahlukene zesifo sikashukela, esinye sazo yinto eyenzeka ekuseni kakhulu. Ngakho-ke, abanesifo sikashukela kudingeka bazi ukuthi yini le nto nokuthi ikhula kanjani nokuthi ingavinjelwa yini.
Ngabe siyini lesi sifo futhi siyini imbangela yaso
Ku-diabetesics, umphumela wokusa kokusa ubonakala ngokukhuphuka kweglue glucose, okwenzeka lapho ilanga liphuma. Njengomthetho, ukuvuka okunjalo kokushukela kubhekwa ku-4-9 ekuseni.
Izimbangela zalesi simo zingahluka. Lezi izingcindezi, ukudla ngokweqile ebusuku noma ukuphathwa komthamo omncane we-insulin.
Kepha ngokuvamile, ukuthuthukiswa kwama-steroid ama-hormone kusenhliziyweni yentuthuko yesifo sokusa sokusa. Ekuseni (ngo-4 ekuseni), ukugcwala kwamahomoni angama-co-egazini kufinyelela eqongeni. I-Glucocorticosteroids yenza kusebenze ukukhiqizwa kwe-glucose esibindini futhi ngenxa yalokho, ushukela wegazi ukhuphuka kakhulu.
Kodwa-ke, lesi simo senzeka kuphela kwiziguli ezinesifo sikashukela. Ngemuva kwakho konke, ama-pancreas abantu abaphilile akhiqiza i-insulin ngokugcwele, ekuvumela ukuthi unxephezele i-hyperglycemia.
Kuyaphawuleka ukuthi i-morning dawn syndrome kuhlobo 1 sikashukela ivame ukutholakala ezinganeni nasebusheni, ngoba i-somatotropin (ukukhula kwehomoni) inomthelela wokuthi kwenzeke le nto. Kepha ngenxa yokuthi ukukhula komzimba wengane kungukuzungeza komhlaba, ukuphuma kwe-glucose ekuseni nakho ngeke kuhlale kunjalo, ikakhulukazi njengoba inani lama-hormone okukhula liyehla njengoba bekhula.
Kufanele kukhunjulwe ukuthi i-hyperglycemia yasekuseni ngohlobo 2 sikashukela ivame ukuphindwa.
Kodwa-ke, lesi simo asiyona into yabo bonke abantu abanesifo sikashukela. Ezimweni eziningi, le nto iqedwa ngemuva kokudla.
Yini ubungozi be-ekuseni dawn syndrome nokuthi ungayithola kanjani le nkinga?
Lesi simo siyingozi i-hyperglycemia eyingozi, engami kuze kube ngumzuzu wokuphathwa kwe-insulin. Futhi njengoba wazi, ukuguquguquka okunamandla ekuqoqweni koshukela egazini okujwayelekile kwawo kusuka ku-3.5 kuye ku-5.5 mmol / l, kunomthelela ekuthuthukiseni okusheshayo kwezinkinga. Ngakho-ke, imiphumela emibi yohlobo 1 noma isifo sikashukela ku-2 kuleli cala ingaba yi-cataract yesifo sikashukela, i-polyneuropathy kanye nephropathy.
Futhi, i-syndrome yokusa kokusa iyingozi ngoba ivela kaningi, kodwa yenzeka esigulini nsuku zonke ngokumelene nesizinda sokukhiqizwa ngokweqile kwama-hormone we-contra-hormonal ekuseni. Ngenxa yalezi zizathu, i-carbohydrate metabolism iyaphazamiseka, okuyinto eyandisa kakhulu ingozi yokuba nengxaki yesifo sikashukela.
Kuyaqapheleka ukuthi kubalulekile ukukwazi ukwahlukanisa umphumela wokuntwela kokusa entweni yaseSomoji. Ngakho-ke, into yokugcina ibonakala ngokudlulela okungamahlalakhona kwe-insulin, okwenzeka ngokumelene nesizinda sokuphendula okungapheli kwe-hypoglycemia kanye ne-posthypoglycemic, kanye nokuntuleka kwe-insal insulin.
Ukuthola i-hyperglycemia yasekuseni, kufanele ulinganise ukugcwala kwe-glucose egazini ubusuku nobusuku. Kepha ngokuvamile, isenzo esinjalo sinconywa ukuba senziwe kusukela ngo-2 kuye ku-3 ebusuku.
Futhi, ukudala isithombe esinembile, kungakuhle ukuthatha izilinganiso zobusuku ngokuya ngohlelo olulandelayo:
- owokuqala ungo-00: 00;
- okulandelayo - kusukela ngo-3 kuye ku-7 ekuseni.
Uma phakathi nalesi sikhathi sesikhathi bekungekho ukwehla okuphawulekayo ekuqoqweni kwe-glucose egazini kuqhathaniswa nobusuku, kepha, ngokuphambene nalokho, kukhona ukwanda okufanayo kwezinkomba, khona-ke singakhuluma ngokuthuthukiswa komphumela wokusa kokusa.
Ungasivimba kanjani lesi sifo?
Uma isimo se-hyperglycemia yasekuseni sivame ukwenzeka ngohlobo 2 lwesifo sikashukela, khona-ke kufanele wazi ukuthi yini okufanele uyenze ukuvimba ukwanda koshukela oshukela ekuseni. Njengomthetho, ukumisa i-hyperglycemia eyenzeka ekuqaleni kosuku, kwanele ukuguqula ukwethulwa kwe-insulin ngamahora amabili noma amathathu.
Ngakho-ke, uma umjovo wokugcina ngaphambi kokulala wenzelwe ku-21 00, manje ama-hormone wokufakelwa kufanele akhishwe ngamahora angama-22 00 - 23 00. Esikhathini esiningi, izinyathelo ezinjalo zisiza ukuvimbela ukuthuthukiswa kwento, kepha kukhona okuhlukile.
Kuyaqapheleka ukuthi ukulungiswa okunjalo kwesheduli kusebenza kuphela lapho kusetshenziswa i-insulin yabantu, enesikhathi esijwayelekile sokusebenza. Izidakamizwa ezinjalo zibandakanya:
- I-Protafan;
- I-Humulin NPH nezinye izindlela.
Ngemuva kokuphathwa kwale mishanguzo, inani eliphakeme le-hormone lifinyelelwa cishe emahoreni angama-6-7. Uma ufaka i-insulin ngokuhamba kwesikhathi, khona-ke ukugcwala okuphezulu kakhulu kwe-hormone kuzokwenzeka, ngaso leso sikhathi lapho kuba khona ushintsho ekuqoqweni kweglucose egazini. Kodwa-ke, kufanelekile ukwazi ukuthi ukulungiswa kweshedyuli yomjovo akukuthinti isifo sikashukela uma kusetshenziswa uLantus noma Levemir.
Le mishanguzo ayinasenzo esiphakeme, ngoba igcina kuphela ukugcwala okukhona kwe-insulin. Ngakho-ke, ngokweqile kwe-hyperglycemia, le mithi ayinakuthinta ukusebenza kwayo.
Kukhona enye indlela yokuphatha i-insulin ekulweni kokusa kokusa. Ngokusho kwale ndlela, ekuseni kunikezwa isiguli insulin. Ukuze ukubala umthamo odingekayo kahle uvikele ukuqala kwesifo, into yokuqala okufanele yenziwe ukukala izinga le-glycemia phakathi nobusuku. Umthamo we-insulin ubalwa ngokuya ngokuthi inani le-glucose emgodini wegazi liphezulu kangakanani.
Kodwa-ke, le ndlela ayilunge ngaso sonke isikhathi, ngoba uma umthamo ukhethwe ngokungalungile, ukuhlaselwa kwe-hypoglycemia kungenzeka. Futhi ukunquma umthamo owuthandayo, izilinganiso zokugxilisa ushukela kufanele zenziwe ngobusuku obuningana. Kubalulekile futhi ukucabanga ngevolumu ye-insulin esebenzayo etholakala ngemuva kokudla kwasekuseni.
Indlela ephumelela kunazo zonke yokuvimbela into yokusa yokusa yipampu ye-omnipod insulin, lapho ungabeka khona amashejuli ahlukahlukene wokulawulwa kwama-hormone ngokuya ngesikhathi. Iphampu iyithuluzi lezokwelapha ukuphathwa kwe-insulin, ngenxa yokuthi i-hormone ifakwa ngaphansi kwesikhumba ngokuqhubekayo. Umuthi ungena emzimbeni ngesistimu yamashubhu amancane agobekayo axhumeka kwisigcini nge-insulin ngaphakathi komshini onamafutha angaphansi.
Inzuzo yepompo ukuthi kwanele ukuyilungiselela kanye. Futhi-ke insiza ngokwayo izofaka inani elidingakalayo lezimali ngesikhathi esinikeziwe.
Ividiyo ekulesi sihloko izokhuluma ngezimpawu nangezimiso zokwelapha isifo sokusa kwesifo sikashukela.
