Kana paiva nechirwere cheshuga chepelisi, imwe yemapurisa chaiyo aizova "Somogyi." Pane imwe nguva mukudzidza nezvekuchengetedzwa kwechirwere cheshuga iwe unogona kunge uchitarisana neshoko iri achitaura nezveSomogyi effect , dzimwe nguva inozivikanwa se "kuwedzera huwandu hwehutachiona ."
Anonzi chiremba weHungary uyo akatanga kurondedzera muna 1938, Somogyi inoitika inowanikwa apo mashuga eropa (glucose) anowira pasi zvakanyanyisa usiku, zvichiita kuti muviri upfuure, zvichiita kuti shuga yeropa inopera mumangwanani.
Chii Chinokonzera Kusangana KweSomogyi?
Somogyi "kuputsika" inowanzokonzerwa nehana yakawandisa ye insulini usiku kana kuti kurega kudya chikafu chisati chavata. Zvose izvi zvinogona kuita kuti shuga yeropa iwire pasi zvikuru pakati peusiku, kazhinji pasina zviratidzo. Muzvokwadi, zvinokwanisika kurara kuburikidza nechiitiko chakadaro che hypoglycemia.
Munguva yehope, muviri unotarisana nehutachiwana hwehuga hwakadzika nekusunungura mahomoni anoita kuti chiropa chibudise glucose muropa. Aya mahomoni anodzivirira kuti glucose isapinda uye mazinga ega shuga anoramba ari kumusoro.
Mahomoni emangwanani anowedzerawo mazinga akawanda ehuluse - iyi inozivikanwa sechiedza chamambakwedza. Mukati penguva pfupi, nguva yakawanda, muviri wakabva kune hypoglycemia kuenda kune hyperglycemia - vose vachirara. Cherechedza kuti mangwanani akawanda hyperglycemia inokonzerwa neusiku huno hypoinsulinemia (asinganzwisisike pasi insulini) uye vanhu vazhinji vanozofanira kuwedzera insulini.
Izvo Somogyi zvinokonzerwa hazvina kukakavara. Kutsvakurudza kunowona kuti yakakura kupfuura iyo inowanzofungidzirwa kuva, uye kune nharo pamusoro pezvinokonzerwa nei. Kunyanya kutsanya glucose yeropa inowanzoitika kakawanda mushure mekunyarara kwemazuva ano hypoglycemia, maererano nepepanhau rakabudiswa muna 2013. Mhosva apo chirwere cheshuga chepamusoro chepamusoro cheropa chakange chakakwirira mushure mesiku inonzi hypoglycemia chiitiko chakaitika mushure mekunge chiitiko chacho chakatapwa nekupa glucose.
Simba reSomogyi Rinowanikwa sei?
Apo mumwe munhu ane chirwere cheshuga achikwirirwa nehuwandu hwemashuga eropa mumangwanani, mupi wehutano anokwanisa kukurudzira kuedza mazinga eropa glucose pakati peusiku, zvichida pakati pa2am ne3am. Kana mazinga ehuga eropa ari pasi panguva iyoyo asi kumusoro mangwanani, murwere angangodaro ane shungu dzeSomogyi.
Kana huwandu hwehuga hweropa hukwirira kusvika 2 kusvika 3 am, izvi zvinoreva kuti murwere angada kuwedzera insulini usiku. Izvi zvinogona kuwanikwa kuburikidza nekushandura purogiramu yechirongwa kana kukura muyero we insulini.)
Mamiriro eSomogyi Akadzivirirwa sei uye anobatwa sei?
Chiremba kana mupi wehutano wehutano angangodaro akurudzira kuchinja kwe insulin mero kana nguva yekurara kunwa kunodzivirira huwandu hwehuga hweropa kubva pakudonha zvakaderera pakati peusiku. Nekurapa kwakakodzera, mashiga emasikati emagetsi achavandudza.
Sources:
Dinsmoor, Robert. "Somogyi Effect." Diabetesselfmanagement.com 15 Aug. 2006. Chirwere Cheshuga Kuzvibata.
Bolli GB, Perriello G, Fanelli CG, De Feo P. Rusiku rwekudzivirira glucose yeropa muchirwere cheshuga cheshuga cheshuga. Chirwere cheshuga . 1993 Dec; 16 Suppl 3: 71-89.
Choudhary P, Davies C, Emery CJ, Heller SR. "Kuita mashizha ekutsanya kwakanyanya kunoratidza husiku hunopisa kanomwe here?" Somogyi inoitika-yakawanda inhema kupfuura chokwadi? " Diabet Med. 2013 Aug; 30 (8): 914-7. doi: 10.1111 / dme.12175. Epub 2013 Mbudzi 15.