Uma kwakukhona izinyosi zesipelingi sikashukela , esinye sezidakamizwa zangempela kungaba "Somogyi." Ngesinye isikhathi lapho ufunda ngokukhathazeka ngesifo sikashukela cishe uzothola leli gama ngokubhekisela kumphumela we- Somogyi , ngezinye izikhathi owaziwa ngokuthi "i-hyperglycemia ehlaselwa."
Ebizwa ngokuthi udokotela waseHungary owakuchaza okokuqala ngo-1938, umphumela we-Somogyi kwenzeka uma amazinga kashukela egazini (glucose) ewela phansi kakhulu ebusuku, okwenza umzimba uphuluke ngokweqile, okuholela ekutheni ushukela wegazi ekuseni.
Yini Ebangelwa Umphumela We-Somogyi?
Umphumela we-Somogyi "ovukelayo" uvame ukubangelwa i-insulin enkulu ngokweqile ebusuku noma ukunganaki ukudla isidlo ngaphambi kokulala. Zombili lezi zinto ezingaphezulu zingabangela ushukela wegazi ukuthi liwehla kakhulu phakathi nobusuku, ngokuvamile ngaphandle kwempawu. Eqinisweni, kungenzeka ukuba ulale ngqo kulesi siqephu se-hypoglycemia.
Ngesikhathi sokulala, umzimba uphenduka emazingeni ashukela egazini ephansi ngokukhulula ama-hormone eshukumisa isibindi ukukhulula i-glucose egazini. Lawa ma-hormone avimbela ukuthi i-glucose ingabanjwa futhi amazinga kashukela egazi ahlale ephezulu.
Amahomoni asekuseni nawo aqhuba amazinga aphezulu e- glucose - lokhu kwaziwa ngokuthi yinto yokusa. Ngesikhathi esifushane kakhulu, umzimba usuka ku-hypoglycemia kuya kwi- hyperglycemia - konke ngenkathi ulele. Qaphela ukuthi iningi le-hyperglycemia ekuseni liwumphumela we-hypoinsulinemia yobusuku obuningi (insulin engavamile) futhi abantu abaningi bayodinga insulini eyengeziwe.
Umphumela we-Somogyi awunayo impikiswano. Ucwaningo luthola ukuthi lukhulu kunalokho okucatshangwa ukuthi lukhona, futhi kukhona impikiswano mayelana nokuthi izimbangela zayo zingabani. I-glucose yegazi ephansi yokuzila ukudla iyenzeka kaningi ngemva kokukhulelwa kwe-hypoglycemia yokuthula ebusuku, ngokusho kwephepha elishicilelwe ngo-2013. Amacala lapho izinga leshukela legazi liphakeme ngemva kokuqothuka kwesifo se-hypoclycemia ebusuku ngemuva kokuba isiqephu siphethwe ngokuphatha i-glucose.
Umphumela we-Somogyi Utholakala kanjani?
Uma umuntu onesifo sikashukela evuka ngamazinga aphezulu ashukela ekuseni, umhlinzeki wezempilo angase ancoma ukuhlola amazinga wegazi glucose phakathi nobusuku, cishe phakathi kuka-2 ekuseni no-3 ekuseni Uma amazinga kashukela egazi ephansi ngaleso sikhathi kodwa ekuseni ekuseni, isiguli cishe sibhekene nomphumela weSomogyi.
Uma amazinga kashukela egazini ephakeme cishe ngo-2 kuya ku-3 ekuseni, lokhu kusho ukuthi isiguli sidinga insulin engaphezulu ebusuku. Lokhu kungafinyelelwa ngokushintsha isimiso sokulinda noma ukwandisa umthamo we-insulin.)
Umphumela we-Somogyi uvinjelwe kanjani futhi uthathwa kanjani?
Udokotela noma umhlinzeki wezempilo uzokutusa ushintsho kumanyolo we-insulin noma ukulala isikhathi sokulala ukuze kuvinjelwe amazinga kashukela egazini ekudleni kakhulu phakathi nobusuku. Uma ukwelashwa okufanele, amazinga kashukela ekusasa azothuthukisa.
Imithombo:
Dinsmoor, uRobert. "Umphumela we-Somogyi." Diabetesselfmanagement.com 15 Aug. 2006. Ukuziphathisa Ukuzilawula Kwesifo Sikashukela.
I-Bolli GB, i-Perriello G, i-Fanelli CG, i-De Feo P. Ukulawulwa kwegazi kwegazi nge-nocturnal ngohlobo lwesifo sikashukela. Ukunakekelwa yisifo sikashukela . 1993 Dec; 16 Isithathu 3: 71-89.
I-Choudhary P, i-Davies C, u-Emery CJ, i-Heller SR. "Ingabe amazinga e-glucose okuzila ukudla aphakamisa ukuthi i-hypoglycaemia ye-nocturnal? I-Somogyi iyimpikiswano engaphezu kweqiniso?" I-Diabet Med. 2013 Aug; 30 (8): 914-7. i-doi: 10.1111 / dme.12175. I-Epub 2013 Meyi 15.