Monga munthu wodwala matenda a shuga, mwina mumayang'ana shuga m'magazi mwanu mukangodzuka m'mawa. Ngati mutaganizira izi, ngakhale mutadya bwino komanso kumwa mankhwala usiku, muyeneranso kuda nkhawa mukaona kuti shuga wanu wakwera m'mawa, sichoncho? "Ndachita zonse bwino, bwanji shuga wanga umawonjezeka m'mawa?" Mungaganizenso. Pali zifukwa ziwiri zazikulu za izi. Chimodzi ndi Dawn Phenomenon, ndipo china ndi Somogyi Effect. Ngakhale mayina awiriwa ndi achilendo pang'ono, musachite mantha. Tiyeni tikambirane izi mwachidule.
Ubale Pakati pa Insulini, Shuga M'magazi, ndi Kugona
Choyamba, tiyeni tidziwe anthu otchulidwa m'nkhaniyi. Gwero lalikulu la mphamvu m'thupi lathu ndi mtundu wa shuga wotchedwa shuga. Uli ngati mafuta a galimoto. Homoni yomwe imathandiza kuchotsa shuga m'magazi mwathu kupita ku maselo athu ndikupanga mphamvu ndi insulin. Mwachidule, insulin ili ngati kiyi yomwe imatsegula zitseko za maselo athu ndikulola shuga kulowa.
Tikagona, thupi lathu silifuna mphamvu zambiri. Lili ngati galimoto yomwe yangoyamba kumene kugwira ntchito. Komabe, ikafika nthawi yoti tidzuke m'mawa, thupi lathu limakhala likukonzekera ntchito ya tsikulo. Kenako thupi limatumiza chizindikiro ku chiwindi chathu, kuti, "Chabwino, tsopano ndi nthawi yoti tiyambe kugwira ntchito, tulutsani shuga wambiri m'magazi." Mwanjira imeneyi, shuga ikasonkhana m'magazi m'mawa, thupi la munthu wathanzi limapanga insulin yambiri kuti ilamulire kuchuluka kwa shuga.
Komabe, m'thupi la munthu amene ali ndi matenda a shuga, izi sizichitika bwino. Popeza kuchuluka kwa insulin komwe kumafunika sikupangidwa, shuga m'magazi amawonjezeka m'mawa. Timatcha izi hyperglycemia. Ngati izi zipitirira, zitha kuvulaza thanzi.
Kodi chodabwitsa ichi cha Dawn ndi chiyani?
Mwachidule, Dawn Phenomenon ndi njira yachilengedwe ya mahomoni yomwe imapangitsa kuti shuga m'magazi akwere m'mawa kwambiri, nthawi zambiri pakati pa 3 koloko m'mawa ndi 8 koloko m'mawa. Izi zimasiyana kwa aliyense. Koma ngati muli ndi matenda a shuga, thupi lanu lilibe insulin yokwanira yowongolera kukwera kwa shuga, kotero mumadzuka ndi kuchuluka kwa shuga m'magazi. Izi zimachitika pafupifupi theka la anthu omwe ali ndi matenda a shuga a Mtundu 1 ndi Mtundu 2.
Izi si matenda, koma ndi yankho chabe ku njira yachilengedwe m'thupi yomwe imayamba chifukwa cha matenda a shuga. Choncho musadandaule nazo.
Koma mukhoza kulankhula ndi dokotala wanu ndikuchita zinthu zina kuti muchepetse vutoli.
- Pewani kudya zakudya zokhala ndi chakudya chambiri musanagone.
- Kusintha mlingo ndi nthawi ya mankhwala anu a insulin kapena matenda a shuga (monga kumwa musanagone m'malo mwa madzulo).Musasinthe izi nokha. Nthawi zonse funsani dokotala wanu.
- Ngati mugwiritsa ntchito pampu ya insulin, sinthani makonda ake.
Ndiye, kodi zotsatira za Somogyi ndi chiyani?
Zotsatira za Somogyi ndi zomwe zimachitika shuga m'magazi mwanu akakwera m'mawa. Koma chifukwa chake n'chosiyana kwambiri. Zimachitika chifukwa mumamwa insulin yambiri usiku, mumamwa pang'ono, kapena mumasiya kudya usiku .
Tangoganizirani izi. Munamwa insulin yochuluka kwambiri usiku. Kenako pakati pa usiku, shuga m'magazi mwanu amatsika kwambiri. Timatcha izi hypoglycemia. Thupi limayankha kuchepa kumeneku mwa kuchita mantha. Poganiza kuti, "O, shuga wanga watsika, ndikufunika kukweza shuga wanga mwachangu," thupi mwadzidzidzi limatulutsa mahomoni ambiri omwe amagwira ntchito motsutsana ndi insulin (monga cortisol, hormone yokulira). Zotsatira zake, shuga wotsika umakwera mwadzidzidzi. Izi zikutanthauza kuti shuga umatsika kwambiri, kenako umakweranso kwambiri. Izi zimatchedwa 'Rebound Hyperglycemia'. Matendawa amapezeka kwambiri kwa anthu omwe ali ndi matenda a shuga a Mtundu 1.
Koma kafukufuku watsopano, makamaka maphunziro ogwiritsa ntchito Continuous Glucose Monitors (CGMs) , apeza kuti Somogyi Effect si yofala monga momwe ankaganizira kale. Akatswiri ena tsopano akukhulupirira kuti Dawn Phenomenon, kapena kusakhazikika kwa mlingo wa insulin, kungakhale chifukwa cha kukwera kwambiri kwa shuga m'mawa m'malo mwa Somogyi Effect.
Kodi mumadziwa bwanji kusiyana pakati pa awiriwa?
Matenda onsewa amayambitsa shuga m'magazi m'mawa, koma mankhwala ake ndi osiyana chifukwa zifukwa zake ndi zosiyana. Choncho dokotala wanu ayenera kudziwa chomwe chili mwa awiriwa. Kuti athandize pa izi, dokotala wanu angakufunseni kuti muyang'ane kuchuluka kwa shuga m'magazi mwanu pakati pa usiku (pafupifupi 2-3 koloko m'mawa) kwa masiku angapo. Ngati mugwiritsa ntchito CGM, idzalandira deta iyi yokha.
Gome ili pansipa likufotokozanso kusiyana kwakukulu pakati pa ziwirizi.
| Khalidwe | Chochitika cha Dawn | Zotsatira za Somogyi |
|---|---|---|
| Chifukwa chachikulu | Njira yachilengedwe ya mahomoni m'thupi. | Shuga amatsika pakati pa usiku, kenako shuga amabwereranso m'magazi. |
| Kuchuluka kwa shuga m'magazi pakati pa usiku (2-3 koloko m'mawa) | Wamba kapena wapamwamba. | Shuga wochepa m'magazi. |
| Njira yochizira | Osamwa chakudya chopatsa mphamvu musanagone, kusintha mankhwala/nthawi ya insulin kapena mlingo wake. | Kuchepetsa mlingo wa insulin, kudya chakudya chopepuka musanagone. |
Kodi zizindikiro za matenda onsewa ndi ziti?
Chizindikiro chachikulu ndi kuchuluka kwa shuga m'magazi mukadzuka m'mawa. Kuphatikiza apo, kutengera kuchuluka kwa shuga m'magazi mwanu, muthanso kukumana ndi zizindikiro monga:
- Kumva ludzu kwambiri kuposa masiku onse
- Kumva njala kuposa masiku onse
- Kufunika kukodza pafupipafupi
- Mutu
- Kumva kusamasuka komanso kukwiya
Kaya zizindikiro zonsezi zili zotani, ndi bwino kulemba kuchuluka kwa shuga m'magazi anu ndikuonana ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Chifukwa chomwe shuga m'mawa wanu amakwera chikhoza kukhala Dawn Phenomenon, njira yachilengedwe m'thupi, kapena Somogyi Effect, yomwe imayamba chifukwa cha kuchepa kwa shuga pakati pa usiku.
- Njira yabwino yodziwira bwino lomwe kuti ndi iti mwa izi ziwiri ndikuyang'ana shuga m'magazi mwanu pakati pa usiku (2-3 koloko m'mawa) kwa masiku angapo, monga momwe dokotala wanu adalangizira.
- Musasinthe mlingo wa mankhwala anu a insulin kapena matenda a shuga nokha popanda chilolezo cha dokotala wanu. Kuchita zimenezi kungakhale koopsa.
- Ngati shuga m'mawa wanu uli wokwera nthawi zonse, lankhulani ndi dokotala wanu za vutoli. Iye adzakupatsani yankho loyenera kwambiri.
- Kulemba tsiku ndi tsiku za kuchuluka kwa shuga m'magazi mwanu, chakudya chomwe mumadya, ndi mankhwala omwe mumamwa kungathandize dokotala wanu kupanga zisankho zoyenera.
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