I-hypoglycemia yasebusuku iyisiqephu seshukela ephansi ebusuku ebusuku; lezi zivamile futhi zithinta cishe wonke umuntu onesifo sikashukela sohlobo 1 kanye nabancane abancane balabo abanesifo sikashukela sohlobo lwesibili.
Ukulala Kuthinta Kanjani Ukukhiqizwa Kweglucose
Ukuze uqonde u- hypoglycemia wesonto ebusuku, kubalulekile ukwazi ukuthi ukulala kuthinta kanjani ukukhiqizwa kwe-glucose. Ngokuvamile umzimba uveza ama-hormone amabili - i-glucagon ne-epinephrine-elwa namazinga aphansi egazi legazi.
Nokho, ukukhiqizwa kwe-glucagon ngokuvamile kuphansi ebusuku. Ngaphezu kwalokho, uhlobo lwesifo sikashukela sohlobo lwe-1 lukhubaza ukukhiqizwa kwe-glucagon, okuqhubeka nokucindezeleka yi-episode ngayinye ye-hypoglycemia.
Ezinye izici, kufaka phakathi isikhathi eside phakathi kokudla nokwandisa ukuzwela kwe-insulini , futhi kunegalelo ku-hypoglycemia ngesikhathi sokulala.
Izimpawu
Nakuba izibonakaliso ezijwayelekile ze-hypoglycemia zakuqala zihlanganisa ukujuluka, ukugijima kwenhliziyo, ukuzulazula, ukulamba nokukhathazeka, ubuchopho bebusuku bunikeza inselelo engavamile, njengoba izimpawu zalokhu zingenzeka zingabonakali ngesikhathi sokulala.
Hlalani niphumelele izithukuthuku zasebusuku , ikhwalithi yokulala engafanele, ikhanda lokukhwabanisa noma umuzwa okhathele ekuvukeni, futhi ephakeme kunezinga elivamile legazi le-glucose ekuseni, okuwumphumela "wokuvukela" emazingeni ehukela egazi okuthiwa yi- Somogyi effect .
Uma umuntu engavuki ngesikhathi se-nighttime hypoglycemia, ushukela ophansi wegazi usalokhu ungaphathwa futhi ungathuthuka ku-hypoglycemia eyaziwa kakhulu, ebonakala ubuthongo nokudideka ngezimpawu ezingakwazi ukuhlala zifihliwe ngesikhathi sokulala.
I-hypoglycemia yasebusuku kungenzeka ingabonakali kuze kube yilapho amazinga egazi le-glucose aphansi kabi, mhlawumbe ephansi ngokwanele ukudala ukuxubana noma i-coma.
Ukuvimbela
Ukugwema noma ukuvimbela u-hypoglycemia wesonto ebusuku, kuyasiza ukugcina i-ntambama ntambama nantambama yokudla, umsebenzi kanye ne-insulin dosing.
Ukucatshangelwa Okukhethekile Kwe-Insulin Ukuzikhethela
Isikhathi kanye nokulinganisa i-insulin ehlala isikhathi eside kusihlwa kubalulekile ekuvimbeleni i-hypoglycemia yasebusuku. I- insulin ehlala isikhathi eside isebenza kakhulu phakathi kwamahora amane nesishiyagalombili ngemva kokujola. Lapho i-insulin ehlala isikhathi eside isetshenziswa esidlweni sakusihlwa, impendulo ye-insulin ye-peak isaba yilapho ilala isikhathi eside. Ngokushintsha isikhathi somthamo we-insulin osebenza isikhathi eside eduze nokulala, ubeka amazinga e-hypoglycemic eduze namahora akhulayo, lapho izimpawu ze-hypoglycemia zibonakala kalula futhi ziphathwa kalula.
Kubaluleke kakhulu ukugwema ukungena ngokweqile kwe-insulin - ikakhulukazi i-insulin ehlala isikhathi eside - ukugwema ukukhukhumeza kwe-hypoclycemia ebusuku. Isibonelo, uma isishukela segazi sakusihlwa siphezulu emva kokudla okukhulu, umuntu angalingeka ukuphatha isilinganiso esincane kakhulu kunesisindo esincane sokwenza i-insulin ehlala isikhathi esifushane ukuze aphathe i-hyperglycemia. Nakuba lokhu kungase kusebenze kahle emini, izinguquko ku-hormone zikhishwe ebusuku, namazinga aphansi okukhiqizwa kwe-glucagon ngenkathi elele, zingabonisa ushukela wegazi ophansi kunalindelwe uma kuqhathaniswa nesilinganiso se-insulin, okubangelwa u-hypoglycemia.
Ukudla isiphuzo sokulala se- carbohydrate eyinkimbinkimbi - njengezithelo ezomile, i-granola noma i-oatmeal - ingasiza ekuvimbeleni i-hypoglycemia yasebusuku ngokugcina ukukhishwa okuqhubekayo kwe-glucose ukuhambisana nesenzo se-insulin ende.
Ukudla Nokuzivocavoca Amathiphu
I-Hypoglycemia ingenzeka uma abantu bekulinda isikhathi eside phakathi kokudla noma ukuzivocavoca ngamandla ngaphandle kokudla. Ukuqapha kufanele kuthathwe ukudla isidlo phakathi kokudla uma kunesidingo. Futhi, isikhathi sokuzivocavoca nokudla kubalulekile.
Ukuzivocavoca kungabangela ukwehla kwezitolo ze-glycogen, okuzoholela emazingeni aphansi egazi legazi glucose cishe amahora amane kuya kwangu-8 kamuva. Ngakho-ke, ukuzivocavoca kwentambama-ntambama noma kusihlwa kungahle kube negalelo le-hypoglycemia yasebusuku. Ukudla ama-carbohydrate amancane kancane-anjengezithelo ezomisiwe, amantongomane noma i-granola - emva kokuzivocavoca kungasiza ekuphikeleni lolu hlobo lwe-hypoglycemia ehlobene nokuvivinya umzimba.
Imithombo:
"I-Hypoglycemia Yesbusuku - I-Night Time Hypo." I-Diabetes.co.uk