Isifo sikashukela yisifo esidinga ukuqashwa kwezempilo. Iziguli ezincike kumjovo we-insulin ziyazi ukuthi kuyadingeka ukukala njalo ushukela egazini ngemuva kokudla ukuze uvimbe. Kodwa ngisho nangemva kokuphumula kokudla kwasebusuku, abanye abantu bathola ukuthi bagxume ushukela, yize i-hormone ingeniswe ngesikhathi.
Le nto ibizwa ngeMorning Dawn Syndrome ngenxa yokukhuphuka kwamazinga kashukela emahoreni angaphambili.
Kuyini ukuvela kokusa kokusa ekuseni kohlobo 1 nohlobo 2 lwesifo sikashukela
Ku-syndrome yokusa kokusa, ukwanda kwe-plasma glucose kwenzeka phakathi kwamane kuya kwayisithupha ekuseni, futhi kwezinye izimo kugcina kuze kube isikhathi esizayo.
Kuzo zombili izinhlobo zesifo sikashukela ezigulini, kuyaziveza ngenxa yezici zezinqubo ezenzeka ohlelweni lwe-endocrine.
Intsha eningi ithambekele kulo mphumela phakathi kwezinguquko zama-hormone, ngesikhathi sokukhula okusheshayo. Inkinga ukuthi ukweqa kwe-glucose ye-plasma kwenzeka ebusuku, lapho umuntu elele futhi engasilawuli isimo.
Isiguli esivezwa yile nto, singasoli, sithande ukwandisa izinguquko zesifo sezinzwa ohlelweni lwezinzwa, izitho zombono, nezinso ezinesifo sikashukela mellitus. Le nto akuyona eyesikhathi esisodwa, ukuquleka kuzokwenzeka njalo, kwande isimo sesiguli.
Ukubona ukuthi isiguli sithintekile yilesi sifo, kufanele wenze isilinganiso sokulawula ngehora lesibili, bese sikhipha esinye ngehora.
Kungani ushukela ukhuphuka kwabashukela ekuseni?
I-Hormone i-insulin ikhuthaza ukusetshenziswa koshukela okuvela emzimbeni, futhi okuphambene nayo - i-glucagon, kuyakhiqiza.
Futhi, ezinye izinto ezithambile zezitho ezikhuthaza ukukhuphuka kwe-glucose ku-plasma. Lona indlala ye-pituitary ehlanganisa i-hormone somatotropin, izindlala ze-adrenal ezikhiqiza i-cortisol.
Kusekuseni lapho ukucasulwa kwezitho zomzimba kusebenze. Lokhu akubathinti abantu abaphilile, ngoba umzimba ukhiqiza i-insulin ekuphenduleni, kepha kwabanesifo sikashukela le ndlela ayisebenzi. Ukudlondlobala ekuseni okunjalo kushukela kubangela ukuphazamiseka okuthe xaxa ezigulini, ngoba zidinga ukungenelela okuphuthumayo kwezokwelapha.
Izimbangela eziphambili zalesi sifo zihlanganisa:
- umthamo olungiselelwe ngokungafanele we-insulin: ukhuphuke noma umncane;
- isidlo sekwedlule isikhathi;
- izingcindezi ezivamisile.
Izimpawu zalo mkhuba
I-Hypoglycemia, ekhula ekuseni, ihambisana nokuphazamiseka kokulala, amaphupho akhathazekile nokujuluka ngokweqile.
Umuntu ukhononda ngekhanda ngemuva kokuphaphama. Uzizwa ediniwe futhi elele usuku lonke.
Isistimu yezinzwa yesiguli ihlangabezana nokuxwaya, ulaka, noma isimo sokunganaki. Uma uthatha i-urinalysis esigulini, i-acetone ingahle ibe khona kuyo.
Yini ubungozi bomphumela wokusa kokusa?
Isifo siyingozi ngoba umuntu uhlangabezana nokuguquguquka okukhulu kwamazinga kashukela we-plasma.Kungase kukhuphuke futhi kuholele ku-hyperglycemia, uma izinyathelo ezifika ngesikhathi zokuqinisa isimo zingathathwanga, noma zimbi kakhulu ngemuva kokulawulwa okwengeziwe kwe-insulin.
Ukushintshwa okunjalo kugqame ngokwenzeka kwe-hypoglycemia, okungeyona ingozi kangako kwisifo sikashukela kunokukhuphuka ushukela. Isifo senzeka njalo, ngaso leso sikhathi ingozi yezinkinga iyanda.
Ungasusa kanjani lesi sifo?
Uma kutholakala izimpawu zalesi sifo, isiguli singathatha lezi zindlela ezilandelayo:
- ukuphathwa kwe-insulin ngokuzayo. Kulokhu, ama-hormone wesikhathi esiphakathi angasetshenziswa: I-Protafan, Bazal. Umphumela oyinhloko wezidakamizwa uzoza ekuseni, lapho ama-hormone we-insulin antagonist esetshenzisiwe;
- umjovo owengeziwe. Umjovo wenziwa cishe ngehora lesine. Inani libalwa kucatshangelwa umehluko phakathi komthamo ojwayelekile nesidingo sokuzinza isimo;
- ukusetshenziswa kwephampu ye-insulin. Uhlelo lwedivayisi lungasethwa ukuze i-insulin ihanjiswe ngesikhathi esifanele, kanti isiguli silele.
Lezi zindlela zizogwema i-hyperglycemia kanye nezinkinga ezihambisana nokukhuphuka kwe-glucose egazini.
Amavidiyo ahlobene
Mayelana nokwenzeka kokusa kokusa kushukela kule vidiyo:
Ukuvela komphumela wokusa kokusa kuhlotshaniswa nokwenyuka kwamazinga kashukela we-plasma. Lesi simo sibangelwa ukukhiqizwa kwezitho ngazinye zamahomoni e-contra-mahormone emahoreni angaphambili. Imvamisa, le nkinga ibonwa kwabasakhulayo, kanye nakwabashukela, ngoba imizimba yabo ayikwazi ukukhiqiza i-insulin ngesilinganiso esifanele.
Ubungozi bomphumela ukuthi ukuvela kwe-hyperglycemia kukhulisa ukugula kweziguli okungalapheki. Ukuze uzinze, izazi zesifo sikashukela ziyalulekwa ukuba zihlehlise umjovo we-hormone esikhathini esizayo, noma zisebenzisa iphampu ye-insulin.
