Isimanga sokuntwela kokusa yigama eliyimfihlakalo futhi elihle kude nelicace kuwo wonke umuntu. Eqinisweni, lolu ushintsho nje olubi ushukela wegazi ekuseni ngaphambi kokuvuka. I-syndrome ibonwa ezigulini ezinesifo sikashukela i-mellitus. Kepha futhi kungaba nabantu abaphilile ngokuphelele.
Uma umehluko emazingeni kashukela egazi awubalulekanga futhi ungeqi okwejwayelekile, i-ekuseni dawn syndrome iqhubeka ngokungenangqondo futhi ingenamphumela. Imvamisa, lo mphumela wenzeka kusuka ngo-4 kuye ku-6 ekuseni, kepha ubhekwe eduze ngamahora angama-8-9. Imvamisa umuntu ngalesi sikhathi ulala kahle futhi akavuki.
Kepha ngesifo sikashukela, i-ekuseni dawn syndrome idala ukungaphatheki kahle futhi ilimaza isiguli kakhulu. Imvamisa, le nto ibonwa kwintsha. Ngasikhathi sinye, azikho izizathu ezisobala zokuxhuma ushukela: i-insulin yajova ngesikhathi, ukuhlaselwa kwe-hypoglycemia akuzange kwandule ushintsho emazingeni kashukela.
Imininingwane ebalulekile: i-ekuseni dawn syndrome enohlobo lwesifo sikashukela mellitus yinto ejwayelekile, hhayi eyodwa. Ngemuva kwalokho ukungawunaki umphumela kuyingozi enkulu futhi akunangqondo.
Odokotela abakwazi ukubona ukuthi kungani le nto yenzeka. Kukholelwa ukuthi isizathu sisezimpawu zomzimba wesiguli ngamunye. Ezimweni eziningi, onesifo sikashukela uzizwa ejwayelekile ngokuphelele ngaphambi kokulala. Kodwa-ke, ekuseni, ngenxa yezizathu ezingachazwanga, ukukhishwa kwama-hormone we-insulin antagonist kwenzeka.
I-Glucagon, i-cortisol namanye ama-hormone ahlanganiswa ngokushesha, futhi yilesi sici esivusa ukugxuma okubukhali kushukela wegazi ngesikhathi esithile sosuku - i-ekuseni kokusa kokusa.
Ungayithola Kanjani I-Morning Dawn Phenomenon in Diabetes
Indlela eyinkimbinkimbi yokuthola ukuthi ngabe kukhona i-morning dawn syndrome ukuthatha izilinganiso zikashukela ubusuku bonke. Abanye odokotela bacebisa ukuqala ukukala ushukela ngo-2 a.m., futhi benze isilinganiso sokulawula ngemuva kwehora.
Kodwa ukuze uthole isithombe esiphelele kunazo zonke, kuyalulekwa ukusebenzisa imitha yesathelayithi, ngokwesibonelo, njalo ngehora kusuka emahoreni angama-00,00 kuze kube sekuseni - amahora angama-6-7.
Ngemuva kwalokho imiphumela iqhathaniswa. Uma isibonakaliso sokugcina sihluke kakhulu kwesokuqala, uma ushukela ungakanciphile, kodwa wanda, noma kungenjalo ngokuqinile, isifo sokusa kokusa senzeka.
Kungani kwenzeka le nto ngesifo sikashukela
- Ukudla kwakusihlwa okumnandi ngaphambi kokulala;
- Umthamo onganele we-insulin wesifo sikashukela sohlobo 2;
- Ukuqhaqhazela enethini;
- Ukuthuthukiswa kokutheleleka ngegciwane noma isifo se-catarrhal;
- Uma kukhona i-Somoji syndrome - ukubalwa okungalungile komthamo we-insulin.
Ungawuvimbela kanjani umphumela
Uma ngabe lesi sifo sitholakala kaningi kushukela, kudingeka wazi ukuthi kufanele uziphathe kanjani ngendlela efanele ukuze ugweme imiphumela engathandeki nokungathandeki.
Ukushintsha komjovo we-insulin amahora amaningi. Okusho ukuthi, uma umjovo wokugcina ngaphambi kokulala uvame ukwenziwa ngo-21,00, manje kufanele wenziwe ngamahora angama-22.00-23,00. Le ndlela ezimweni eziningi isiza ukuvimbela lesi simo. Kepha kukhona okuhlukile.
Ukulungiswa kwesheduli kusebenza kuphela uma i-insulin yomsuka wobuntu besikhathi esiphakathi isetshenziswa - yiHumulin NPH, i-Protafan nabanye. Ngemuva kokuphathwa kwale mishanguzo kushukela, inani eliphezulu le-insulin lenzeka cishe emahoreni ayi-6-7.
Uma ufaka i-insulin ngokuhamba kwesikhathi, umphumela wethamo lomuthi uzoba kanye nesikhathi lapho izinga likashukela liguqukayo. Ngale ndlela, i-phenomenon izovinjelwa.
Udinga ukwazi: ushintsho ohlelweni lomjovo ngeke luba nomthelela uma i-Levemir noma iLantus ilawulwa - le mishanguzo ayinalo inani lokusebenza, igcina kuphela izinga elikhona le-insulin. Ngakho-ke, ngeke bakwazi ukuguqula izinga kashukela egazini uma lingaphezu kokujwayelekile.
Ukuphathwa kwe-insulin okufakwayo ekuseni kakhulu. Ukuze ukubala kahle umthamo odingekayo futhi uvikele ukwenzeka, amazinga kashukela aqala ukukalwa ngobusuku obubodwa.
Ngokuya ngokuthi lenyuke kangakanani, kunqunywa umthamo we-insulin.
Le ndlela ayilunge neze, ngoba ngethamo elinqunyelwe ngokungalungile, ukuhlaselwa kwe-hypoglycemia kungenzeka. Futhi ukuze uthole umthamo odingekayo ngokunembile, kuyadingeka ukukala amazinga kashukela ubusuku obuhlukahlukene ngokulandelana. Inani le-insulin elisebenzayo elizotholwa ngemuva kokudla kwasekuseni nalo liyabhekwa.
Iphampu ye-insulin. Le ndlela ikuvumela ukuthi uvikele ngempumelelo into ngokubeka amashejuli ahlukene wokuphathwa kwe-insulin kuya ngesikhathi sosuku. Inzuzo enkulu ukuthi kwanele ukuqeda izilungiselelo kanye. Lapho-ke iphampu ngokwayo izokufaka inani elicacisiwe le-insulin ngesikhathi esibekiwe - ngaphandle kokubamba iqhaza kwesiguli.
