Ukuba kukho i-spel beel spelling, enye yezinto zangempela ziza kuba "Somogyi." Ngexesha elithile ekufundeni ngesifo sikashukela unokufumana eli gama ngokubhekiselele kwimpembelelo yeSomogyi , ngamanye amaxesha eyaziwa ngokuba yi-"hyperglycemia".
Ebizwa ngokuba ngudokotela waseHungary owathi wachaza okokuqala ngo-1938, umphumo we-Somogyi uvela xa amanqanaba eshukela egazi (i-glucose) ehla kakhulu kakhulu ebusuku, okwenza umzimba uphewule, obangela ukuba ushukela wegazi usasa.
Yintoni ebangela i-Somogyi Impembelelo?
I-Somogyi "impembelelo" iqhubekile iqhutywe ngumthamo ogqithiseleyo we-insulin ebusuku okanye ukungahoyi ukutya ngaphambi kokulala ngexesha lokulala. Zombini ezi zinto zingabangela ishukela legazi ukuba lihlawule kakhulu phakathi kobusuku, ngokuqhelekileyo ngaphandle kwempawu. Enyanisweni, kunokwenzeka ukuba ulale ngolu hlobo lwe-hypoglycemia.
Ngexesha lokulala, umzimba uphenduka kwizinga eliphantsi lokushukela kwegazi ngokukhulula ama-hormone eshukumisa isibindi ukukhulula i-glucose kwigazi. Ezi hormone ziyakuthintela ukuba i-glucose ingabonakali kwaye amanqanaba eshukela egazi ahlale phezulu.
Amahomoni aseMasa aqhuba amazinga aphezulu e- glucose - oku kwaziwa ngokuba yinto yokusa. Ngethuba elifutshane kakhulu, umzimba uphume kwi-hypoglycemia ukuya kwi- hyperglycemia- konke xa ulele. Qaphela ukuba ininzi yentsasa ye-hyperglycemia yiphumo lobomi be-hypoinsulinemia (ngobunzima be-insulin engaphantsi) kwaye abaninzi abantu baya kufuna i-insulin eyongezelelweyo.
Impembelelo yeSomogyi ayinakuphikisana. Uphando lufumanisa ukuba lukhulu kunokuba lucatshangelwa ukuba lukhona, kwaye kukho imbambano malunga nokuba ziphi izizathu zayo. I-blood glucose yokuzila ephantsi iyenzeka ngokuphindaphindiweyo emva kohlobo lwe-hypoglycemia, ngokuya kwiphepha elipapashwe ngo-2013. Iimeko apho izinga leshukela legazi liphezulu emva kwe-hypoclycemia yesiganeko senzeke emva kokuba isiqhelo siphethwe ngokulawula i-glucose.
I-Effective Somogyi ifunyenwe njani?
Xa umntu onesifo sikashukela evuka ngezinga eliphezulu lokushukela egazini ekuseni, umboneleli wezempilo unokuncoma ukuhlola i-blood glucose level phakathi kobusuku, mhlawumbi phakathi kwe-2 ukuya kwe-3 ekuseni. Ukuba izinga leeshukela legazi liphantsi ngeli xesha kodwa ephakamileyo ekuseni, isigulane mhlawumbi sifumana impembelelo yeSomogyi.
Ukuba izinga lezeshukela legazi liphezulu kwi-2 ukuya ku-3 ekuseni, oku kuthetha ukuba isiguli sidinga insulin engakumbi ebusuku. Oku kuya kufumaneka ngokutshintsha ishedyuli ye-dosing okanye ukwandisa umlinganiselo we-insulin.)
I-Impact ye-Somogyi iViwe kwaye ithathwa njani?
Ugqirha okanye umboneleli wezempilo uya kuncomeka ukuba utshintsho kwi-insulin dosage okanye ngexesha lokulala lokutywala ukukhusela amanqanaba eshukela egazini ukusuka ekuhlahleni kakhulu phakathi kobusuku. Xa unyango olufanelekileyo, amazinga eshukela egazini yamanzi aya kuphucula.
Imithombo:
Dinsmoor, uRobert. "Impembelelo yeSomogyi." I-Diabetesselfmanagement.com 15 Agasti 2006. Isifo soKhuseleko lokuziPhatha.
UBolli GB, uPerriello G, u-Fanelli CG, uDe Feo P. Ulawulo lwegazi lwe-glucose yebusuku ngohlobo lwesifo seswekile sesifo sikashukela. Uncedo lweSwekile . NgoDisemba ka-1993; 16 I-Suppl 3: 71-89.
I-Choudhary P, iDavies C, uEmmery CJ, i-Heller SR. "Ngaba amazinga e-glucose ephakamileyo ephakamileyo axela ukuba i-hypoglycaemia ye-nocturnal? Diabet Med. Ngo-Agasti wama-2013; 30 (8): 914-7. i-doi: 10.1111 / dme.12175. Epub 2013 Meyi 15.