Ngati pali nthenda ya diabetes yopeka, mmodzi wa zenizeni zenizeni adzakhala "Somogyi." Panthawi ina podziwa za matenda a shuga mungathe kupeza mawuwa ponena za zotsatira za Somogyi , zomwe nthawi zina zimatchedwa "hyperglycemia".
Amatchulidwa kuti ndi dokotala wa ku Hungarian amene adalongosola poyamba mu 1938, zotsatira za Somogyi zimachitika pamene ma shuga a shuga (shuga) amagawidwa kwambiri usiku, kuchititsa kuti thupi lizidye mopitirira muyeso, zomwe zimayambitsa shuga m'magazi m'mawa.
Kodi Zimayambitsa Zotsatira za Somogyi?
Somogyi "amawononga" kawirikawiri imayamba chifukwa cha kuchuluka kwa mlingo wa insulini usiku kapena kusala kudya chakudya choyambirira chogona. Zonsezi zingayambitse shuga wa magazi pakati pa usiku, kawirikawiri popanda zizindikiro. Ndipotu, n'zotheka kugona kupyola muyeso wa hypoglycemia.
Pa nthawi ya tulo, thupi limayimirira pamagazi otsika kwambiri a shuga mwa kumasula mahomoni omwe amachititsa chiwindi kumasula shuga m'magazi. Mahomoniwa amateteza kuti shuga isamangidwe ndipo shuga la magazi likhale lopitirira.
Mahomoni a m'mawa amachititsanso kuti m'magulu ambiri azikhala ndi shuga - izi zimadziwika ngati zochitika zam'bandakucha. Pakangotha kanthawi kochepa, thupi latuluka ku hypoglycemia kupita ku hyperglycemia - onse ali m'tulo. Onani kuti m'mawa kwambiri matenda a hyperglycemia ndi zotsatira za hypoinsulinemia (osadziwika bwino insulini) ndipo anthu ambiri amafunikira insulini yowonjezera.
The Somogyi zotsatira sizitsutsana. Kafukufuku amapeza kuti ndi osiyana kwambiri ndi momwe anthu ambiri amaganizira, ndipo pali mikangano yokhudza zomwe zimayambitsa. Magazini yofalitsidwa mu 2013 inanena kuti kudya kochepa kwa magazi m'magazi kumachitika kawirikawiri pambuyo poti thupi limatulutsa ubongo wa khansa usiku. Malinga ndi nyuzipepala yomwe inafalitsidwa mu 2013. Milandu yomwe shuga yamagazi inali yaikulu pambuyo pa chithokomiro cha nogurnicemia chimachitika pambuyo pochitika kachilomboka poyambitsa shuga.
Kodi zotsatira za Somogyi zimapezeka bwanji?
Munthu wina yemwe ali ndi matenda a shuga akudzuka ndi shuga yapamwamba mmawa, wothandizira zaumoyo angapangire kuyesa kuyesa magazi m'magazi pakati pa usiku, mwina pakati pa 2 am ndi 3 koloko. Ngati shuga la magazi liri pansi panthawi imeneyo koma mkulu m'mawa, wodwalayo mwina akukumana ndi zotsatira za Somogyi.
Ngati shuga ya magazi ili pamwamba pa 2 mpaka 3 koloko, izi zikutanthauza kuti wodwalayo angafunike insulini yambiri usiku. Izi zingatheke mwa kusintha ndondomeko ya dosing kapena kuwonjezera mlingo wa insulini.)
Kodi zotsatira za Somogyi zimatetezedwa bwanji?
Dokotala kapena wothandizira zaumoyo angayamikire kusintha kwa mlingo wa insulin kapena kupuma kwa nthawi yopuma kuti asatengere shuga la magazi kuti asagwe pansi pakati pa usiku. Ndi mankhwala oyenera, shuga yamagazi yammawa imakhala bwino.
Zotsatira:
Dinsmoor, Robert. "Chisokonezo cha Somogyi." Diabetesselfmanagement.com 15 Aug. 2006. Chisamaliro cha Kudzikuza.
Bolli GB, Perriello G, Fanelli CG, De Feo P. Kulamulira magazi m'thupi mwa mtundu wa shuga. Chisamaliro cha shuga . 1993 Dec; 16 Suppl 3: 71-89.
Choudhary P, Davies C, Emery CJ, Heller SR. "Kodi masewera a shuga otentha kwambiri amatanthauza hypoglycaemia yachisanu ndi chiwiri? Diabet Med. 2013 Aug; 30 (8): 914-7. lembani: 10.1111 / dme.12175. Epub 2013 May 15.