Abantu abane-hyperglycemia bavame ukubhekana nenkinga yokuthi i-insulin ayihlisi ushukela wegazi. Ngenxa yalesi sizathu, abanesifo sikashukela abaningi bayazibuza ukuthi kungani ama-insulin engalinciphisi ushukela wegazi. Izimbangela zale nto zingavela ngenxa yesinye sezici ezilandelayo: kukhona ukumelana ne-insulin.
Ukubonakaliswa kwe-Somoji syndrome, umthamo wezidakamizwa namanye amaphutha ekuphathweni komuthi kubalwa ngokungalungile, noma isiguli singahambisani nezincomo eziphambili zikadokotela oholayo.
Kuthiwani uma i-insulin ingehlisi ushukela wegazi? Inkinga esevelile kumele ixazululwe nodokotela olapha isiguli. Musa ukubheka izindlela nezindlela, nokuzindla. Ngaphezu kwalokho, kufanele uhambisane nezincomo ezilandelayo:
- lawula isisindo futhi usigcine singaphansi kwemikhawulo ejwayelekile;
- bambelela ngokuqinile ekudleni;
- Gwema izimo ezicindezelayo kanye nokushaqeka okukhulu kwemizwa, njengoba kukhulisa izinga likashukela egazini;
Ngaphezu kwalokho, ukugcina indlela yokuphila esebenzayo kanye nokuzivocavoca kuzosiza ukunciphisa ushukela.
Yiziphi izizathu zokungasebenzisi kwe-insulin?
Kwezinye izimo, ukwelashwa kwe-insulin akwehlisi futhi kwehlise amanani aphezulu kashukela.
Kungani i-insulin inganciphisi ushukela wegazi? Kuyavela ukuthi izizathu zingalala hhayi ekunembile kwemithamo ekhethiwe, kodwa futhi kuncike kwinqubo yomjovo uqobo.
Izinto eziphambili nezimbangela ezingadala ukungasebenzi kwesidakamizwa:
- Ukwehluleka ukuthobela imithetho yokugcina komkhiqizo wokwelapha, ongaziveza ngesimo samazinga okushisa abanda kakhulu noma ashisayo, elangeni eliqondile. Izinga lokushisa elifanelekile le-insulin lisuka kuma-20 liye kwangama-22 degrees.
- Ukusetshenziswa kwezidakamizwa eziphelelwe yisikhathi.
- Ukuxuba izinhlobo ezimbili ezihlukile ze-insulin esitokisini esisodwa kungaholela ekuthini kungabikho mphumela kusuka kumuthi olimele.
- Sula isikhumba ngaphambi kokujova nge-ethanol. Kumele kwaziwe ukuthi utshwala buyasiza ukwenza imiphumela ye-insulin ibe lula.
- Uma i-insulin ifakwe emsipha (futhi hhayi esibayeni sesikhumba), indlela umzimba osabela ngayo kulo muthi ingahlanganiswa. Kulokhu, kungahle kwehle noma kukhuphuke ushukela ngenxa yomjovo onjalo.
- Uma izikhathi zokuphathwa kwe-insulin zingagadwanga, ikakhulukazi ngaphambi kokudla, ukusebenza komuthi kungancipha.
Kumele kwaziwe ukuthi kunama-nuances amaningi nemithetho ezosiza ukuphatha kahle i-insulin. Odokotela baphinde bancome ukuthi unake amaphuzu alandelayo uma umjovo ungakhiqizi umphumela ofanele kushukela wegazi:
- Umjovo kufanele ubanjwe ngemuva kokuphathwa umuthi imizuzwana emihlanu kuya kweyisikhombisa ukuvikela ukuvuza komuthi;
- Gcina ngokucophelela izikhathi zesikhathi sokuthatha umuthi nokudla main.
Kumele kuqashelwe ukuqikelela ukuthi awukho umoya ongena kwisirinji.
Ukubonakaliswa kokumelana nemithi
Kwesinye isikhathi, ngisho nangendlela efanele yokuphatha futhi alandele yonke imithamo ebekwe udokotela, i-insulin ayisizi futhi ayiyehli izinga likashukela.
Le nto kungenzeka kube ukubonakaliswa kokungazethembi kwento yezokwelapha. E-terminology yezokwelapha, igama elithi "metabolic syndrome" livame ukusetshenziswa namanje.
Izizathu ezinkulu zale ndaba kungenzeka kube yilezi zinto ezilandelayo:
- ukukhuluphala nokukhuluphala ngokweqile;
- ukuthuthukiswa kwesifo sikashukela sohlobo 2;
- umfutho wegazi ophakeme noma i-cholesterol;
- i-pathologies ehlukahlukene yesistimu yethambo nenhliziyo;
- ukuthuthukiswa kwe-ovary polycystic.
Lapho kukhona ukumelana ne-insulin, ushukela awunciphi ngenxa yokuthi amaseli omzimba awakwazi ukuphendula ngokugcwele esenzweni somuthi olungiselelwe. Ngenxa yalokhu, umzimba uqongelela ushukela omningi, okukhishwa yi-pancreas njengokwehluleka kwe-insulin. Ngakho-ke, umzimba ukhiqiza i-insulin eningi kunesidingo.
Njengomphumela wokumelana emzimbeni uyabonakala:
- ushukela wegazi ophakeme;
- ukukhuphuka kwenani le-insulin.
Izimpawu eziphambili ezibonisa ukukhula kwenqubo enjalo ziboniswa kokulandelayo:
- kunezinga elikhuphukile loshukela egazini esiswini esingenalutho;
- umfutho wegazi uhlala njalo usezingeni eliphakeme;
- kukhona ukwehla kwezinga le-cholesterol "enhle" ngokunyuka okubukhali kumazinga obucayi bezinga "elibi";
- izinkinga nezifo zezitho zohlelo lwezinhliziyo kungakhula, kuvame ukuba kube nokuncipha kokuqina kwemithambo yegazi, okuholela ku-atherosclerosis kanye nokwakheka kwezigaxa zegazi;
- isisindo somzimba;
- kunezinkinga nezinso, njengoba kufakazelwa ukuba khona kwamaprotheni kumchamo.
Uma i-insulin ingakhiqizi umphumela ofanele, futhi ushukela wegazi ungaqali ukwehla, kuyadingeka ukuthi kudlule ezinye izivivinyo ezingeziwe futhi uhlolwe.
Mhlawumbe isiguli siqala ukumelana ne-insulin.
Uyini umnyombo wentuthuko yeSyomozhdi syndrome?
Enye yezimpawu zokusetshenziswa ngokweqile kwesidakamizwa ukuvezwa kwesifo sikaSomogy. Lokhu kwenzeka lapho kuphendulwa njalo ushukela wegazi owengeziwe.
Izimpawu ezinkulu ukuthi isiguli sakha i-insulin engaphezulu esigulini yilena elandelayo:
- phakathi nosuku kukhona ukweqa okubukhali kumazinga kashukela, okuthi noma kufinyelele emazingeni aphezulu kakhulu, bese kuncipha ngaphansi kwezinkomba ezijwayelekile;
- ukuthuthukiswa kwe-hypoglycemia ejwayelekile, ngasikhathi sinye, kokubili ukubanjwa kwesiqu okusobala nokusobala kungabonakala;
- i-urinalysis ibonisa ukuvela kwemizimba ye-ketone;
- isiguli sihlala sihambisana nomuzwa wokulamba, futhi isisindo somzimba sikhula ngokuqinile;
- inkambo yalesi sifo iba sibi uma ukhuphula izinga le-insulini elilawulwa, futhi lithuthuka uma uyeka ukwandisa umthamo;
- ngesikhathi sokubanda, kukhona ukuthuthuka kwamazinga kashukela wegazi, leli qiniso lichazwa iqiniso lokuthi phakathi nalesi sifo umzimba uzizwa unesidingo sokwanda kwe-insulin.
Njengomthetho, isiguli ngasinye esinamazinga aphezulu eglucose egazini siqala ukwandisa isilinganiso se-insulin esikhishwe. Kulokhu, ngaphambi kokwenza lezo zenzo, kunconywa ukuthi kuhlaziywe isimo futhi unake ubungako kanye nekhwalithi yokudla, ukutholakala kokuphumula nokulala okufanele, ukuvivinya umzimba njalo.
Kulabo bantu abanamazinga we-glucose ahlala emazingeni aphakeme isikhathi eside, futhi ngemuva kokudla okuncane, asikho isidingo sokulindisa lesi simo nge-insulin. Ngempela, kunezimo lapho amazinga aphezulu abonwa ngumzimba womuntu njengokujwayelekile, futhi ngokuncishiswa kwawo okubhekiswe kukho kungenzeka ukuvusa ukuthuthukiswa kweSomoji syndrome.
Ukuze uqiniseke ukuthi i-insulin ngokweqile i-insulin eyenzeka emzimbeni, kuyadingeka ukwenza izenzo eziningi zokuxilonga. Isiguli kufanele sithathe izilinganiso zamazinga kashukela ebusuku ngezikhathi ezithile. Ukuqala kwenqubo enjalo kunconywa ukuba kwenziwe cishe ngehora lesishiyagalolunye kusihlwa, kulandelwa ukuphindwa njalo ngamahora amathathu.
Njengoba umkhuba ukhombisa, i-hypoglycemia yenzeka cishe ngehora lesibili noma lesithathu lobusuku. Kufanele futhi kwaziwe ukuthi kungalesi sikhathi lapho umzimba udinga i-insulin okungenani, futhi ngaso leso sikhathi umphumela ophelele uqhamuka lapho kwethulwa umuthi wesikhathi esiphakathi (uma umjovo wenziwa ngehora lesishiyagalombili kuya kwelesishiyagalolunye kusihlwa).
I-Somoji syndrome ibonakala ngokuqina kweshukela ekuqaleni kobusuku ngokwehla kancane kancane koshukela ngamahora amabili noma amathathu nokugxuma okubukhali okusondele ekuseni. Ukuze unqume kahle umthamo, udinga ukubonana nodokotela wakho bese ulandela zonke izincomo zawo.
Kulesi simo kuphela, inkinga yokuthi ushukela wegazi awuncishisiwe ongaqedwa.
Imaphi ama-nuances okufanele acatshangelwe lapho kubalwa umthamo we-insulin?
Ngisho nemithamo ekhethwe kahle yesidakamizwa idinga ukulungiswa okuthile kuye ngethonya lezinto ezahlukahlukene.
Amaphoyinti aphambili okudingeka unake kuwo, ukuze i-insulin ibe nomphumela ofanele wokunciphisa:
- Ukulungiswa kwesithako somthamo we-insra-esifushane. Kwenzeka ukuthi ukwethulwa kwalo muthi ngamanani anganele (okungukuthi, ngesikhathi sokudla kudliwe amayunithi esinkwa amaningi) kungaholela ekwakhiweni kwe-postprandial hyperglycemia. Ukuqeda lesi sifo, kunconywa ukwandisa kancane umthamo olungiselelwe umuthi.
- Ukulungiswa komthamo umuthi wezenzo ezinde kuzoncika ngqo kuzinga le-glucose ngaphambi kokudla kwakusihlwa nezinkomba zokusa.
- Ngokukhula kweSomogy syndrome, ikhambi elilungile ukunciphisa isilinganiso somuthi owedlule kusihlwa cishe ngamayunithi amabili.
- Uma ukuhlolwa komchamo kukhombisa ukuba khona kwezidumbu ze-ketone kuyo, kufanele wenze ukulungiswa maqondana nomthamo we-acetone, okungukuthi, wenze umjovo owengeziwe we-insulin e-ultra-short-acting insulin.
Ukulungiswa komthamo kufanele kulungiswe ngokuya ngezinga lomsebenzi womzimba. Ividiyo ekulesi sihloko ikhuluma nge-insulin.
