Ingaba nawe uneswekile ephezulu egazini kusasa? Oku kusenokuba kungenxa ye-'Dawn Phenomenon'!

Ukuba unesifo seswekile, ngaba wakha waphawula ukuba amanqanaba eswekile egazini lakho ayanda ngequbuliso xa uvuka kusasa? Usenokuba uzibuza ukuba kutheni oku kusenzeka nangona usela amayeza akho ebusuku kwaye ulawula ukutya kwakho. Ungakhathazeki, esinye sezizathu zoku singaba yi -'Dawn Phenomenon' esithetha ngayo namhlanje. Makhe sibone ukuba yintoni, kutheni isenzeka, kwaye ungayiphepha njani.

Yintoni iDawn Phenomenon, oku kunyuka kweswekile egazini kusasa?

Ngamafutshane, i-'Dawn Phenomenon' kukunyuka kwendalo kwamanqanaba eswekile egazini kusasa ngenxa yeehomoni ezithile eziveliswa yimizimba yethu. Oku kuchaphazela kuphela abantu abanesifo seswekile. Esi sesona sizathu siphambili sokuba wena onesifo seswekile ube neswekile ephezulu egazini (i-hyperglycemia) kusasa.

Kodwa khumbula, esi asiso sodwa isizathu sokuba amanqanaba eswekile egazini anyuke ekuseni. Kunokubakho nezinye izizathu ezininzi:

• Amayeza anganelanga: Ngamanye amaxesha ubungakanani bamayeza athathwa ebusuku busenokunganeli kusasa, kwaye isiphumo sawo sisenokuphela.
• Ukungangqinelani kwamayeza nokutya: Ukungabalwa kobungakanani obuchanekileyo kunye nexesha lokusela amayeza ngesidlo sangokuhlwa.
• Isiphumo seSomogyi: Oku kuchasene noko. Ngamanye amaxesha, ubungakanani be -insulin ekhutshwa ebusuku buyanda, nto leyo ebangela ukuba iswekile egazini yehle ngequbuliso kakhulu. Umzimba emva koko ukhupha i-hormone ngenxa yoko, nto leyo ebangela ukuba iswekile yegazi inyuke kwakhona. Oku kubizwa ngokuba yi-'Somogyi effect'.

Kuqheleke kangakanani oku?

I-Dawn Phenomenon yimeko eqhelekileyo kubantu abanesifo seswekile. Uphando lufumanise ukuba ichaphazela abantu abangaphezu kwama-50% abanesifo seswekile sohlobo 1 okanye sohlobo 2. Oku kuthetha ukuba awuwedwa.

Zithini iimpawu zoku?

Uphawu oluphambili lwe-'Dawn Phenomenon' kukunyuka kwamanqanaba eswekile egazini kusasa. Ungakubona oku xa uvuka kusasa uze ujonge i-glucometer yakho, okanye ukuba usebenzisa isixhobo se-CGM (Continuous Glucose Monitoring) . Rhoqo, i-'Dawn Phenomenon' ibangela ipateni yamanqanaba aphezulu eswekile egazini kusasa kangangeentsuku ezininzi zilandelelana.

Ngokuxhomekeke ekubeni iswekile yakho egazini iphezulu kangakanani, unokufumana iimpawu ezifana nezi xa uvuka kusasa:

• Ukuziva unxaniwe kakhulu (i-polydipsia).
• Ndiziva ndilambile ngakumbi.
• Ukuchama rhoqo.
• Intloko ebuhlungu.
• Ukucaphuka, umsindo.
• Umbono ofipheleyo.

Khawucinge nje, kukho umntu ogama linguMalani, onesifo seswekile. Uhlola iswekile yakhe yegazi rhoqo kusasa. Kangangeentsuku ezintathu okanye ezine zilandelelana, iswekile yakhe yegazi ekuseni ingaphezulu kwe-200mg/dL. Ulawula nokutya kwakhe ebusuku kwaye uthatha amayeza akhe ngexesha. Uziva edanile kakhulu. Uziva ediniwe kancinci xa evuka kusasa, kwaye unxaniwe kakhulu. Ngaba kukho into efana nale eyenzekileyo kuwe? Ngoko ke kusenokwenzeka ukuba yi-'Dawn Phenomenon'.

Kutheni oku kusenzeka?

Le yinyani yesayensi, kodwa ndiza kuyibeka ngokulula. Ekuseni kakhulu – oko kukuthi, phakathi kwentsimbi yesi-3 neyesi-8 kusasa – imizimba yethu ikhupha uthotho lweehomoni. Ezona ziphambili yi- cortisol kunye nehomoni yokukhula . Ezi homoni zinika isibindi sethu imiqondiso yokuba senze i-glucose engakumbi, eyiswekile. Le glucose isinceda ukuba sivuke kusasa kwaye isinike amandla okuqala usuku. Xa kuveliswa i-glucose engakumbi, amanqanaba eswekile egazini lethu ayanyuka.

Ngoku, ukuba awunaso isifo seswekile, ipancreas yakho isabela kakuhle koku kwaye ivelisa i-insulin eyaneleyo ukulawula iswekile yakho yegazi. Kodwa ukuba unesifo seswekile, ipancreas yakho ayenzi i-insulin kwaphela, okanye ubungakanani bayo abwanelanga ukulawula iswekile ephezulu yegazi. Ngamanye amaxesha , ukuxhathisa i-insulin , oko kuthetha ukuba iiseli zomzimba wakho aziphenduli ngokufanelekileyo kwi-insulin, nako kunokuba yimbangela.

Ngokuchanekileyo, xa umzimba ulungiselela ukuvuka kusasa, le 'nkqubo ye-alamu' yendalo emzimbeni ibangela ukuba iswekile yegazi inyuke. Nangona oku kulawulwa emzimbeni womntu ongenaso isifo seswekile, umzimba womntu onesifo seswekile awukwazi ukukwenza kakuhle.

Uyibona njani le nto kanye kanye?

Eyona ndlela ilungileyo yokufumanisa ngokuchanekileyo ukuba i-'Dawn Phenomenon' yimbangela yokuba neswekile ephezulu egazini kusasa kukusebenzisa i-CGM (Continuous Glucose Monitoring) .

I-CGM sisixhobo osinxibayo ukujonga amanqanaba eswekile egazini lakho iiyure ezingama-24 ngosuku. Ngokuchanekileyo, esi sixhobo se-CGM silinganisa amanqanaba eswekile egazini lakho rhoqo ngemizuzu embalwa kwaye sisebenzisa loo datha ukwenza igrafu. Oku kukunika umfanekiso opheleleyo wendlela amanqanaba eswekile egazini lakho atshintsha ngayo ngokuhamba kwexesha.

Inzuzo yokusebenzisa i-CGM, endaweni yokuthatha igazi emnweni wakho ngaphambi kokuba ulale nasemva kokuba uvuke kusasa uze ujonge iswekile yakho yegazi ngeglucometer, kukuba unokwazi ukubona ngokuchanekileyo ukuba iswekile yakho yegazi yehle ngequbuliso (hypoglycemia) ebusuku. Ukuba kunjalo, oko kuthetha ukuba awufumani 'iDawn Phenomenon', kodwa 'iSomogyi effect' ekhankanyiweyo ngaphambili.

Nokuba awusebenzisi i-CGM, oogqirha banokujonga indlela ekufundwa ngayo iswekile yakho yegazi kangangeentsuku ezininzi baze bakrokre ukuba yi-'Dawn Phenomenon.' Yiyo loo nto kubaluleke kakhulu ukugcina irekhodi yokufundwa kweswekile yakho yegazi.

Luluphi unyango lwale nto?

Eyona ndlela ilungileyo yonyango lwe-'Dawn Phenomenon' kukusebenzisa ipompo ye-insulin ukuhambisa i-insulin. Amayeza eswekile adla ngokungancedi kangako kwi-'Dawn Phenomenon'. Kwakhona, iinaliti ze-insulin ezisebenza ixesha elide akunakwenzeka ukuba zibe nefuthe elikhulu koku.

Ugqirha wakho unokulungisa amazinga akho e-insulin asisiseko aze avumele ipompo yakho ye-insulin ukuba izise i-insulin engakumbi ngokuzenzekelayo kusasa. Oku kunokukunceda ukuthintela amanqanaba eswekile egazini lakho ukuba anganyuki kusasa.

Nangona kunjalo, ukuba awusebenzisi i-insulin pump, okanye ukuba awuyithathi kwaphela i-insulin, wena nogqirha wakho kunokufuneka nenze uvavanyo kunye neempazamo ukuze nifumane amayeza angcono kunye notshintsho lwendlela yokuphila ukulawula ukunyuka kweswekile egazini lakho ekuseni ngenxa 'yento yokusa.' Umzekelo, ugqirha wakho unokucebisa ukuba wandise umthambo wakho ngokuhlwa kwaye wandise inani leproteni kwisidlo sakho sangokuhlwa xa kuthelekiswa nenani leecarbohydrate.

Ngaba oku akunakuthintelwa?

Ekubeni 'i-Dawn Phenomenon' ibangelwa yinkqubo yendalo eyenzeka emzimbeni, akukho nto unokuyenza ukuyithintela ngokupheleleyo.

Nangona kunjalo, ukuba usebenzisa ipompo ye-insulin, ungalungisa amazinga akho e-insulin asisiseko ngokwemiyalelo kagqirha wakho kwaye ulawule ukunyuka kweswekile yegazi kusasa ngenxa 'yento yokusa' ngandlela ithile.

Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku?

Isiphumo esiphambili seswekile ephezulu yegazi enganyangwanga ekuseni ngenxa 'yento yokusa' kukunyuka kwe-A1C yakho. Uvavanyo lwe-A1C lubonisa amanqanaba akho aqhelekileyo eswekile egazini kwiinyanga ezintathu ezidlulileyo.

Okukhona inqanaba lakho le-A1C liphezulu, kokukhona umngcipheko wakho wokuba neengxaki ezinxulumene nesifo seswekile uphezulu. Lo mngcipheko uphezulu ngakumbi ukuba inqanaba lakho le-A1C lihlala liphezulu iminyaka emininzi. Iingxaki zeswekile zingabandakanya:

• Izifo zamehlo (i-Retinopathy)
• Iingxaki zezintso (i-Nephropathy)
• I-Neuropathy
• Isifo sentliziyo

Uphando lubonise ukuba ukuba abantu abanesifo seswekile banokugcina amanqanaba abo e-A1C engaphantsi kwe-7% rhoqo, banokunciphisa umngcipheko wabo weengxaki ezinxulumene nesifo seswekile.

'I-Dawn Phenomenon' idla ngokuba yingxaki eqhubekayo, nto leyo ethetha ukuba ukuba ayinyangwa, amanqanaba eswekile egazini anokuhlala ephezulu iiyure ezininzi yonke imihla. Oku kwandisa umngcipheko wokuba neengxaki zeswekile ngokuhamba kwexesha.

Ndifanele ndimbone nini ugqirha?

Ukuba uhlala unamanqanaba aphezulu eswekile egazini kusasa, kubalulekile ukuthetha nogqirha wakho okuncedayo ukulawula isifo sakho seswekile. Angajonga amanqanaba eswekile egazini lakho, afumanise ukuba oku kungenxa yeDawn Phenomenon, aze akucebise ngeendlela ezifanelekileyo zonyango.

Ukuva 'into yokusa', ukunyuka kwamanqanaba eswekile egazini kusasa, kunokuba yinto ecaphukisayo necaphukisayo. Kodwa khumbula, ayilotyala lakho. Akukho ndlela ifanelekileyo yokulawula ukunyuka kweswekile yakho kusasa. Ngoko ke kungathatha ixesha ukufumana unyango olufanelekileyo kuwe. Ugqirha wakho unokukunceda ucinge ngesicwangciso esifanelekileyo. Ngoko ke ungathandabuzi ukucela uncedo. Ukuthatha inyathelo ngoku kunokukunceda uphephe iziphumo ebezingalindelekanga zexesha elide.

Eyona nto ibalulekileyo ekufuneka uyikhumbule

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono i-'Dawn Phenomenon' esithethe ngayo. Khumbula, ukuba uphila nesifo seswekile, qaphela ukunyuka kweswekile egazini kusasa.

Asikuko oku okubangela ingxaki, kwaye kukho izisombululo zoku.

• Thetha nogqirha wakho ngale nto ngokukhululekileyo.
• Gcina iirekhodi ezichanekileyo zamanqanaba eswekile egazini lakho, ukutya, kunye namayeza.
• Ukuba ungasebenzisa i-CGM, idatha eyinikayo ixabiseke kakhulu.
• Thetha nogqirha wakho malunga nepompo ye-insulin, ingaba sisisombululo esihle koku.
• Musa ukoyika okanye utyhafe, sebenzisana nogqirha wakho ukuze ufumane isisombululo esifanelekileyo kuwe.

Khumbula, ungaphila ubomi obusempilweni nobonwabisayo xa unesifo seswekile. Kufuneka nje ukwazi, ukukhathalela, nokulandela iingcebiso zikagqirha wakho. Ube nosuku oluhle!

I- Dawn Phenomenon, isifo seswekile, ukunyuka kweswekile egazini ekuseni, i-hyperglycemia, isiphumo seSomogyi, ipompo ye-insulin, i-A1C