Isifo sikashukela i-mellitus sivame ukubangela izinkinga eziningi. Kepha ngisho nokwelashwa kwayo kungaholela ezinguquko ekusebenzeni komzimba, ngokwesibonelo, kwiSomoji syndrome.
Kuyasiza ukuthola ukuthi iyini le-patology nokuthi kungani iyingozi.
Yini le
Ngaleli gama kushiwo yonke inkimbinkimbi yokuhlukahluka okuvelayo okwenzeka ngesikhathi sokudalwa ngokweqile kwe-insulin.
Ngokuvumelana nalokhu, kungadala ukusetshenziswa njalo kwezidakamizwa eziqukethe i-insulin, ezenziwa ekwelapheni isifo sikashukela.
Ngaphandle kwalokho, le ndlela yokusebenza ibizwa ngokuthi yi-rebound noma i-posthypoglycemic hyperglycemia.
Isizathu esiyinhloko sokuqanjwa kwesifo ngamacala we-hypoglycemia, okuvela ngokusetshenziswa okungafanele kwezidakamizwa okwehlisa inani le-glucose egazini.
Iqembu eliyingozi kakhulu yiziguli ezivame ukuphoqelelwa ukusebenzisa imijovo ye-insulin. Uma bengabheki okuqukethwe ushukela, khona-ke kungenzeka bangaboni ukuthi umthamo womuthi abawuphathayo uphezulu kakhulu.
Izimbangela zento
Ukungezelelwa koshukela kuyingozi kakhulu, ngoba kudala ukuphazamiseka kwe-metabolic. Ngakho-ke, ama-hypoglycemic agents asetshenziselwa ukunciphisa lokho. Kubaluleke kakhulu ukukhetha isilinganiso esifanele salokhu noma leso siguli.
Kepha kwesinye isikhathi lokhu kungenakwenziwa, ngenxa yalokho isiguli sithola i-insulin eningi kunesidingo somzimba wayo. Lokhu kuholela ekwehleni okukhulu kwamazinga kashukela kanye nokuthuthukiswa kwesimo se-hypoglycemic.
I-Hypoglycemia ithinta kabi inhlala-kahle yesiguli. Ukuze ubekezelele imiphumela yayo, umzimba uqala ukukhiqiza inani elikhulayo lezinto zokuzivikela - ama-hormone aphikisayo.
Benza buthaka isenzo se-insulin, esivimba ukungathathi hlangothi kweglucose. Ngaphezu kwalokho, la mahomoni anethonya elinamandla esibindini.
Umsebenzi wokukhiqizwa ushukela owenziwa ngumzimba uyanda. Ngaphansi kwethonya kulezi zimo ezimbili, kune-glucose eningi kakhulu egazini likashukela, okubangela i-hyperglycemia.
Ukunciphisa lokhu, isiguli sidinga ingxenye entsha ye-insulin, edlula eyedlule. Lokhu kubuye kubangele i-hypoglycemia, bese kuthi i-hyperglycemia.
Umphumela uba ukwehla kokuzwela komzimba ku-insulin kanye nesidingo sokwanda okuqhubekayo komthamo womuthi. Kodwa-ke, ngaphandle kokukhula kwe-insulin, i-hyperglycemia ayihambeki, ngoba kune-overdose engapheli.
Okunye okwenza ukuthi kukhuphuke ushukela ukukhuphuka kokudla okubangelwa inani elikhulu le-insulin. Ngenxa yaleli hormone, onesifo sikashukela uthola indlala engapheli, yingakho ethambekele ekudleni ukudla okuningi, kufaka phakathi ukudla okune-carbohydrate. Lokhu kuholela ku-hyperglycemia.
Isici se-pathology futhi ukuthi imvamisa i-hypoglycemia ayizivezi ngezimpawu ezikhulunywayo. Lokhu kungenxa yezikhala ezibukhali emazingeni kashukela, lapho amanani aphezulu ephenduka ephansi, bese okuphambene nalokho.
Ngenxa yesivinini salezi zinqubo, isiguli singase singaboni ngisho nesimo se-hypoglycemic. Kepha lokhu akusivimbeli lesi sifo ukuthi singathuthuki, ngoba nezimo ze-hypoglycemia ezigcina zidala umphumela weSomogy.
Izimpawu ze-overdose engapheli
Ukuthatha izinyathelo ezidingekayo, kuyadingeka ukuthi uqaphele i-pathology ngesikhathi esifanele, futhi lokhu kungenzeka kuphela ngolwazi lwezimpawu zayo.
Isimo seSomoji ngohlobo lwesifo sikashukela sibonisa izimpawu ezinjengokuthi:
- ukuguquguquka okubukhali okujwayelekile kushukela
; - isimo se-hypoglycemic (kubangelwa ukweqiwa kwe-insulin);
- ukukhuluphala kwesisindo (ngenxa yendlala engapheli, isiguli siqala ukudla ukudla okuningi);
- indlala engapheli (ngenxa yenani elikhulu le-insulin, elehlisa kakhulu ushukela);
- ukwanda kwesifiso sokudla (kubangela ukuntuleka koshukela egazini);
- ukuba khona kwezidumbu ze-ketone emchini (ziyakhishwa ngenxa yokukhishwa kwama-hormone okuvusa ukuhanjiswa kwamafutha).
;Esigabeni sokuqala sokukhula kwale nkinga, izimpawu ezilandelayo zingavela ezigulini:
- ikhanda
- Isiyezi
- ukuqwasha
- ubuthakathaka (ikakhulukazi ekuseni);
- ukwehla kokusebenza;
- amaphupho amabi avamile;
- ukozela
- ukushintshwa kwemizwa njalo;
- ukungaboni kahle
- tinnitus.
Lezi zici zimpawu zesimo se-hypoglycemic. Ukuvela kwabo njalo kungakhombisa ukuthi kungenzeka ukukhula kokuqala komphumela weSomoji. Ngokuzayo, lezi zibonakaliso zingavela isikhashana (ngenxa yokuqhubeka kwesimo se-pathological), ngenxa yokuthi isiguli singase singazinaka.
Njengoba i-hypoglycemia ibangelwa ukweqisa kwe-insulin noma ezinye izidakamizwa ze-hypoglycemic, kufanele uthintane nodokotela ukuze ulungise umthamo noma ukhethe omunye umuthi kuze kuholele ekwakhiweni kweSomoji syndrome.
Ukuqinisekisa kanjani ukubonakaliswa komphumela?
Ngaphambi kokulapha noma iyiphi i-pathology, udinga ukuyikhomba. Ukuba khona kwezimpawu kuwuphawu olungaqondile.
Ngaphezu kwalokho, iningi lezimpawu zeSomoji syndrome lifana ne-hypoglycemia noma ukusebenza ngokweqile okujwayelekile.
Yize isimo se-hypoglycemic singenye esiyingozi, siphathwa ngendlela ehlukile kunesifo sikaSomogy.
Futhi maqondana nokusebenza kakhulu, ezinye izinyathelo zidingeka kakhulu - imvamisa, umuntu udinga ukuphumula nokuphumula, hhayi ukwelashwa. Ngakho-ke, kuyadingeka ukuhlukanisa lezi zinkinga ukuze usebenzise ngqo indlela yokwelashwa enele lesi simo.
Ukuxilongwa okunjalo njengeSomoji syndrome kumele kuqinisekiswe, okuwumsebenzi onzima. Uma ugxila ekuhlolweni kwegazi, ungabona ukwephulwa kwifomula yayo. Kepha lokhu kwephula umthetho kungakhombisa bobabili i-insulin ye-insulin (i-pathology ebonakalayo) kanye nokuntuleka kwayo.
Udinga futhi ukumtshela ngazo zonke izimpawu ezitholakele, ukuze uchwepheshe enze umbono wokuqala. Ngokusekelwe kulo, kuzoqhubeka kwakhiwe ukuhlolwa.
Kunezindlela eziningi zokuqinisekisa ukuba khona kwesibonakaliso.
Lokhu kufaka phakathi:
- Ukuzihlola. Kusetshenziswa le ndlela, amazinga kashukela kufanele alinganiswe njalo emahoreni ama-3 aqala ngo-21:00. Ngehora lesibili ekuseni umzimba ubonakala ngesidingo esincane se-insulin. Isenzo esiphakeme somuthi, esikhishwe kusihlwa, siwa ngqo ngalesi sikhathi. Ngomthamo ongalungile, ukwehla kokuxineka kwe-glucose kuzobhekwa.
- Ucwaningo lwelebhu. Kusetshenziswa isivivinyo somchamo ukuqinisekisa ubukhona besifo esinjalo. Isiguli kufanele siqoqe umchamo wansuku zonke futhi ohlukanisiwe, ohlolwa okuqukethwe kwemizimba ye-ketone noshukela. Uma i-hypoglycemia ibangelwa ingxenye ethe xaxa ye-insulin ekhishwa kusihlwa, khona-ke lezi zingxenye ngeke zitholakale kuzo zonke izampula.
- Ukuxilongwa okuhlukile. ISomoji Syndrome inokufana neMorning Dawn Syndrome. Ubuye abonakale ngokwanda kwamazinga kashukela ekuseni. Ngakho-ke, kubalulekile ukuhlukanisa phakathi kwalezi zifundazwe ezimbili. I-Morning Dawn Syndrome ibonakala ngokwanda kancane kwe-glucose kusukela kusihlwa. Ufika phezulu ekuseni. Ngomphumela weSomoji, izinga likashukela elizinzile libhekwa kusihlwa, bese liyancipha (phakathi kobusuku) futhi landa ekuseni.
Ukufana phakathi kwe-insulin overdose ne-Morning Dawn Syndrome kusho ukuthi akufanele ukhuphule umthamo uma uthola amazinga kashukela amaningi ngemuva kokuvuka.
Lokhu kusebenza kuphela uma kunesidingo. Futhi uchwepheshe kuphela ongakwazi ukubona izimbangela zale nto, okufanele uphendukele kuye.
Isifundo sevidiyo ngokubalwa kwe-insulin
Okufanele ukwenze
Umphumela weSomoji akusona isifo. Lokhu kusabela komzimba okubangelwa ukwelashwa okungafanele kwesifo sikashukela. Ngakho-ke, lapho kutholakala, abakhulumi ngokwelashwa, kodwa ngokulungiswa kwemithamo ye-insulin.
Udokotela kufanele afunde zonke izinkomba futhi anciphise ingxenye yemithi engenayo. Ngokuvamile, kwenziwa i-10-20% ukuncishiswa. Udinga futhi ushintshe uhlelo lokuphathwa kwezidakamizwa eziqukethe i-insulin, wenze izincomo ekudleni, ukhuphule ukusebenza komzimba. Ukubamba iqhaza kwesiguli kule nqubo ukuhambisana nemiyalelo nokubheka njalo izinguquko.
Imithetho eyisisekelo:
- Ukwelashwa kokudla. Inani kuphela lama-carbohydrate adingekayo ukuze kugcinwe umsebenzi obalulekile okufanele lingene emzimbeni wesiguli. Akunakwenzeka ukusebenzisa kabi imikhiqizo ngokuqukethwe okuphezulu kwalezi zinkomponi.
- Shintsha isheduli yokusetshenziswa kwezidakamizwa. Ama-ejenti aqukethe i-insulin akhishwa ngaphambi kokudla. Ngenxa yalokhu, ungalinganisa impendulo yomzimba ekuphuzeni kwabo. Ngaphezu kwalokho, ngemuva kokudla, okuqukethwe kwe-glucose kuyakhuphuka, ngakho-ke isenzo se-insulin sizoba nesizathu.
- Umsebenzi womzimba. Uma isiguli sigwema ukuzikhandla emzimbeni, kunconywa ukuzivocavoca. Lokhu kuzosiza ukukhulisa ukuthathwa koshukela. Iziguli ezinesifo seSomoji kufanele zenze izivivinyo nsuku zonke.
Ngaphezu kwalokho, uchwepheshe kufanele ahlaziye izici zesenzo sezidakamizwa. Okokuqala, ukusebenza kwe-insulin ye-basal ebusuku kuhlolwa.
Okulandelayo, kufanele uhlaziye ukuphendula komzimba kwezidakamizwa zansuku zonke, kanye nomphumela wezidakamizwa ezisebenza ngokubambelela.
Kodwa umgomo oyisisekelo ukunciphisa inani le-insulin elungiselelwe. Lokhu kungenziwa ngokushesha noma kancane.
Ngokushintshwa okusheshayo komthamo, kunikezwa amasonto ama-2 ukuze kwenziwe lolu shintsho, lapho isiguli sishintshana nenani lomuthi oludingekayo kuye. Ukwehliswa umthamo kancane kancane kungathatha izinyanga ezi-2.
Ungayenza kanjani ukulungisa, uchwepheshe unquma.
Lokhu kuthonywa yizici eziningi, ezibandakanya:
- imiphumela yokuhlola;
- ubukhulu besimo;
- izici zomzimba;
- iminyaka, njll.
Ukwehla kwamazinga kashukela egazini kunomthelela ekubuyiseleni ukuzwela ezimeni ze-hypoglycemic. Ukwehla kwezingxenye ze-insulin ezilungiselelwe kuzoqinisekisa ukwenziwa okujwayelekile kokuphendula komzimba engxenyeni yokwelapha.
Akwamukelekile ukwenza izinyathelo zokulungisa ngaphandle kosizo lukadokotela. Ukwehliswa okulula komthamo (ikakhulukazi obukhali) kungadala i-hypoglycemia enkulu esigulini, okungaholela ekufeni.
Ngakho-ke, uma usola ukweqisa okungapheli, udinga ukukhuluma nodokotela wakho. Le nto idinga izinyathelo ezinengqondo nezifanele, idatha efanelekile nolwazi olukhethekile.
