Matenda a shuga amakhalanso amavutitsa mavuto ambiri. Koma ngakhale chithandizo chake chimatha kusintha magwiridwe antchito amthupi, mwachitsanzo, matenda a Somoji.
Ndikofunika kudziwa kuti matenda awa ndi ati komanso chifukwa chake ndi oopsa.
Ichi ndi chiyani
Chifukwa cha dzinali, amatanthauza mitundu yosiyanasiyana ya mitundu yosiyanasiyana yomwe imapezeka mu nthawi yayitali ya insulin.
Chifukwa chake, imatha kuyambitsa kugwiritsa ntchito mankhwala okhala ndi insulin, omwe amathandizidwa ndi matenda a shuga.
Kupanda kutero, matendawa amatchedwa rebound kapena posthypoglycemic hyperglycemia.
Chifukwa chachikulu chomwe chikulembedwera matendawa ndi matenda a hypoglycemia omwe amapezeka ngati mankhwala osokoneza bongo agwiritsidwa ntchito molakwika omwe amachepetsa kuchuluka kwa shuga m'magazi.
Gulu lalikulu lomwe lili pachiwopsezo ndi odwala omwe nthawi zambiri amakakamizidwa kugwiritsa ntchito jakisoni wa insulin. Ngati sangayang'anire shuga, ndiye kuti sangazindikire kuti mankhwalawo amathandizira kwambiri.
Zomwe zimachitika
Kuchulukitsa kwa kuchuluka kwa shuga ndi kowopsa kwambiri, chifukwa kumayambitsa kusokonezeka kwa metabolic. Chifukwa chake, othandizira a hypoglycemic amagwiritsidwa ntchito kuti achepetse. Ndikofunika kwambiri kusankha mlingo woyenera wa uyu kapena wodwala.
Koma nthawi zina izi sizingachitike, chifukwa chomwe wodwalayo amalandira kwambiri insulin kuposa momwe thupi lake limafunira. Izi zimabweretsa kutsika kowopsa m'magulu a glucose komanso kukula kwa dziko la hypoglycemic.
Hypoglycemia imasokoneza thanzi la wodwalayo. Pofuna kuthana ndi zovuta zake, thupi limayamba kupanga zochuluka zowonjezera zoteteza - mahormoni otsutsana.
Amafooketsa insulin, yomwe imalepheretsa kusokonezeka kwa shuga. Kuphatikiza apo, mahomoni awa amathandizira chiwindi.
Ntchito yopanga shuga ndi thupi limakula. Mothandizidwa ndi zinthu ziwiri izi, pali shuga wambiri m'magazi a odwala matenda ashuga, omwe amayambitsa hyperglycemia.
Kuti achepetse izi, wodwalayo amafunikira gawo latsopano la insulin, lomwe limaposa lakale. Izi zimayambitsanso hypoglycemia, kenako hyperglycemia.
Zotsatira zake ndikuchepa kwa chidwi cha thupi pakupanga insulini komanso kufunika kowonjezereka kwa mlingo wa mankhwalawa. Komabe, ngakhale kuchuluka kwa insulin, hyperglycemia sichitha, chifukwa pali mankhwala osokoneza bongo nthawi zonse.
Chinanso chomwe chimapangitsa kuti shuga azikula ndikuwonjezeranso chidwi cha chakudya chomwe chimayamba chifukwa cha insulin yambiri. Chifukwa cha timadzi timeneti, wodwalayo amakhala ndi njala yosatha, ndichifukwa chake amakonda kudya zakudya zambiri, kuphatikizapo mafuta ambiri. Izi zimathandizanso ku hyperglycemia.
Chowoneka cha matenda ndi chakuti nthawi zambiri hypoglycemia siziwonetsa ndi chizindikiro. Izi zimachitika chifukwa chakuthwa m'mizere ya shuga, pomwe mitengo yayikulu imakhala yotsika, kenako.
Chifukwa cha kuthamanga kwa njirazi, wodwalayo mwina sangazindikire mkhalidwe wa hypoglycemic. Koma izi sizimalepheretsa matendawa kupita patsogolo, chifukwa ngakhale zochitika zaposachedwa za hypoglycemia zimabweretsa zotsatira za Somogy.
Zizindikiro za bongo wambiri
Kuti mutenge njira zoyenera, ndikofunikira kuzindikira zamatendawa munthawi yake, ndipo izi ndizotheka pokhapokha podziwa chidziwitso chake.
Chochitika cha Somoji mu mtundu 1 wa shuga chimadziwika ndi zizindikiro monga:
- kusinthasintha pafupipafupi kwa shuga
; - hypoglycemic state (amayamba chifukwa cha insulin yambiri;
- kuchuluka kwa thupi (chifukwa cha njala yosatha, wodwalayo amayamba kudya zakudya zambiri);
- njala yosalekeza (chifukwa cha kuchuluka kwa insulini, komwe kumachepetsa kwambiri shuga);
- kulakalaka kudya (kumayambitsa kusowa kwa shuga m'magazi);
- kukhalapo kwa matupi a ketone mumkodzo (amachotsedwa chifukwa cha kutulutsidwa kwa mahomoni omwe amachititsa kuti pakhale mafuta ambiri).
;Pa gawo loyambirira la vuto ili, zizindikiro zotsatirazi zitha kuoneka mwa odwala:
- mutu
- Chizungulire
- kusowa tulo
- kufooka (makamaka m'mawa);
- kuchepa kwa magwiridwe antchito;
- zolota pafupipafupi;
- kugona
- kusinthasintha kwakasinthasintha;
- kuwonongeka kwamawonekedwe;
- tinnitus.
Izi ndizofanana ndi boma la hypoglycemic. Kupezeka kwawo pafupipafupi kumawonetsa mwayi wakukula kwa zotsatira za Somoji. M'tsogolomo, zizindikirozi zitha kuwoneka kwakanthawi kochepa (chifukwa cha momwe matenda a pathological alili), chifukwa chomwe wodwalayo sangazindikire.
Popeza hypoglycemia imayamba chifukwa cha mankhwala osokoneza bongo a insulin kapena mankhwala ena a hypoglycemic, ndikofunikira kufunsa dokotala kuti musinthe mlingo kapena musankhe mankhwala ena mpaka atsogolera kupangika kwa Somoji syndrome.
Kodi muwonetsetse bwanji kuwonekera kwake?
Musanagwiritse matenda aliwonse, muyenera kuzindikira. Kukhalapo kwa zizindikiro ndi chizindikiro chokhacho.
Kuphatikiza apo, ambiri mwa zizindikiro za Somoji syndrome amafanana ndi hypoglycemia kapena kugwira ntchito kwambiri.
Ngakhale boma la hypoglycemic ndi limodzi lowopsa, limachiritsidwa mosiyana ndi matenda a Somogy's.
Ndipo pokhudzana ndi kugwira ntchito mopitilira muyeso, njira zina ndizofunikira - nthawi zambiri, munthu amafunika kupumula komanso kupumula, osati chithandizo. Chifukwa chake, ndikofunikira kusiyanitsa mavutowa kuti mugwiritse ntchito ndendende njira yomwe mankhwalawo akukwanira.
Kuzindikira kotereku ngati matenda a Somoji kuyenera kutsimikiziridwa, yomwe ndi ntchito yovuta. Ngati mungayang'ane pa kuyezetsa magazi, mutha kuwona kuphwanyidwa mwanjira yake. Koma kuphwanya izi kungathe kuwonetsa kuchuluka kwa insulin (momwe timaganiziridwira) ndi kusowa kwake.
Muyeneranso kumuwuza za zomwe mwazindikira, kuti katswiriyo apange lingaliro lanu. Kutengera ndi izi, kuyesereranso kudzamangidwa.
Pali njira zingapo zotsimikizira kukhalapo kwa chizindikiro.
Izi zikuphatikiza:
- Kudzizindikira. Pogwiritsa ntchito njirayi, misempha ya glucose iyenera kuyesedwa maola atatu aliwonse kuyambira 21:00. Nthawi ya 2 koloko m'mawa thupi limadziwika chifukwa chosowa insulini. Peak zochita zake za mankhwalawa, zomwe zimayendetsedwa usiku, zimagwera ndendende nthawi ino. Ndi Mlingo wolakwika, kuchepa kwa ndende ya glucose kumawonedwa.
- Kafukufuku wa Laborator. Kuyesa kwamikodzo kumagwiritsidwa ntchito kutsimikizira kukhalapo kwa matendawa. Wodwala ayenera kusungitsa mkodzo wa tsiku ndi tsiku komanso womwe umapezeka, womwe umayang'aniridwa kuti mupeze zomwe zili m'matupi a ketone ndi shuga. Ngati hypoglycemia imayambitsidwa ndi gawo lochulukirapo la insulin yomwe imayendetsedwa usiku, ndiye kuti ziwonetsazi sizipezeka mu zitsanzo zonse.
- Kusiyanitsa mitundu. Somoji Syndrome ili ndi zofanana ndi Morning Dawn Syndrome. Amadziwikanso ndi kuchuluka kwamamawa m'mawa. Chifukwa chake, ndikofunikira kusiyanitsa pakati pa mayiko awiriwa. Morning Dawn Syndrome amadziwika ndi kukwera pang'onopang'ono kwa shuga kuyambira madzulo. Amafika m'mawa kwambiri. Ndi mphamvu ya Somoji, mulingo wokhazikika wa shuga umawonedwa madzulo, kenako umachepa (pakati pausiku) ndikuwonjezeka m'mawa.
Kufanana pakati pa mankhwala osokoneza bongo a insulin ndi m'mawa kwambiri kutanthauza kuti simuyenera kuwonjezera mlingo wa mankhwalawa ngati wapezeka ndi shuga wambiri mutadzuka.
Izi zimagwira pokhapokha ngati zikufunika. Ndipo akatswiri okha ndi omwe angazindikire zomwe zimayambitsa izi, omwe muyenera kutembenukira.
Phunziro la kanema pakuwerengera kwa insulini:
Zoyenera kuchita
Mphamvu ya Somoji si matenda. Izi ndimomwe thupi limapangidwira chifukwa chosagwiritsa ntchito bwino matenda ashuga. Chifukwa chake, chikapezeka, samalankhula za chithandizo, koma za kukonzekera Mlingo wa insulin.
Dokotala ayenera kuphunzira zonse zowonetsa ndikuchepetsa gawo la mankhwala omwe akubwera. Nthawi zambiri, kutsitsidwa kwa 10-20% kumachitika. Muyenera kusinthanso dongosolo loyendetsera mankhwala omwe amapezeka ndi insulin, kupanga malingaliro pazakudya, kuwonjezera masewera olimbitsa thupi. Kutenga nawo gawo kwa wodwala motere ndikutsatira zomwe wapatsidwa ndikuwunika kusintha kosalekeza.
Malamulo oyambira:
- Chithandizo cha zakudya. Kuchuluka kwa chakudya komwe kumafunikira kuti muzichita zinthu zofunikira kwambiri kuyenera kulowa m'thupi la wodwalayo. Ndikosatheka kugwiritsa ntchito mankhwala molakwika kwambiri.
- Sinthani dongosolo la kagwiritsidwe ntchito ka mankhwala. Mafuta okhala ndi insulin amatumizidwa musanadye. Chifukwa cha izi, mutha kuwunika momwe thupi limayankhira pakudya kwawo. Kuphatikiza apo, mutatha kudya, glucose amakula, kotero zochita za insulin zidzakhala zoyenera.
- Zochita zolimbitsa thupi. Ngati wodwalayo adapewa kuchita masewera olimbitsa thupi, amalimbikitsidwa kuchita masewera olimbitsa thupi. Izi zikuthandizira kuchulukitsa shuga. Odwala omwe ali ndi vuto la Somoji amayenera kuchita masewera olimbitsa thupi tsiku lililonse.
Kuphatikiza apo, katswiriyo ayenera kuunikira zomwe zikuchitika ndi mankhwala. Choyamba, mphamvu ya insulini ya basal yoyesedwa imayesedwa.
Chotsatira, muyenera kuwunika momwe thupi limayankhira mankhwala tsiku lililonse, komanso momwe mankhwala omwe amagwiritsidwira ntchito mwachidule.
Koma mfundo yayikulu ndikuchepetsa kuchuluka kwa insulin yomwe imayendetsedwa. Izi zitha kuchitika mwachangu kapena pang'onopang'ono.
Posintha mwachangu muyezo, masabata awiri amaperekedwa kuti asinthe, pomwe wodwalayo amasinthana ndi kuchuluka kwa mankhwala omwe amafunikira. Kuchepetsa pang'ono pang'onopang'ono kungatenge miyezi iwiri.
Momwe mungapangire kukonza, katswiri wasankha.
Izi zimakhudzidwa ndi zinthu zambiri, monga:
- zotsatira zoyesa;
- kukula kwa mkhalidwe;
- mawonekedwe a thupi;
- zaka, etc.
Kutsika kwa shuga m'magazi kumathandizira kubwereranso kwamalingaliro a hypoglycemic. Kuchepa kwa magawo a insulini omwe amayendetsedwa adzatsimikizira kuti kayendedwe ka thupi m'thupi lanu limathandizanso.
Sizovomerezeka kuchita njira zowukonzera popanda kuthandizidwa ndi dokotala. Kuchepetsa kosavuta kwa mulingo (makamaka lakuthwa) kungayambitse kwambiri hypoglycemia wodwala, womwe ungamuphe.
Chifukwa chake, ngati mukukayikira kuti pali mankhwala osokoneza bongo osafunikira, muyenera kukambirana ndi dokotala. Izi zimafunika miyeso yoyenera komanso yoyenera, deta yolondola komanso kudziwa kwapadera.
