Idan akwai cututtukan ƙwayar cututtukan sukari , daya daga cikin magunguna na gaske shine "Somogyi". A wani lokaci a koyo game da ciwon sukari kulawa za ku iya kallon wannan kalma dangane da sakamako na Somogyi , wani lokacin da aka sani da "hyperglycemia mai tasowa."
An kira shi don likitancin Hungary wanda ya fara bayanin shi a 1938, sakamakon Somogyi zai faru lokacin da sukarin jini (glucose) ya sauke ƙasa a cikin dare, ya sa jiki ya cika, ya haifar da karfin jini a safiya.
Abin da ke haifar da Somogyi Effect?
Somogyi "rebound" sakamako yawanci ana haifar da shi ta hanyar wani wuce haddi kashi na insulin da dare ko ƙyale cin abinci da kwanciyar hankali da kwanciyar hankali. Dukkanin wadannan zane-zane na iya haifar da yaduwar jini a sauƙi a tsakiyar dare, yawanci ba tare da bayyanar cututtuka ba. A gaskiya, yana yiwuwa a barci daidai ta hanyar irin wannan labarin na hypoglycemia.
A lokacin barci, jiki yana haɓaka zuwa matakan ƙananan jini ta hanyar yaduwar hormones da ke hawan hanta don saki glucose cikin jini. Wadannan hormones sun hana glucose daga karfin zuciya kuma matakan sukarin sukayi tsawo.
Hanyoyin hormones na yau da kullum suna fitar da ƙwayar glucose mafi girma - wannan shine abin da aka sani da samfurin alfijir. A cikin gajeren lokaci, jiki ya fita daga hypoglycemia zuwa hyperglycemia - duk lokacin barci. Yi la'akari da cewa yawancin hyperglycemia na yau da kullum shine sakamakon hawan hypoinsulinemia na dare (ƙananan insulin) kuma mafi yawan mutane zasu bukaci karin insulin.
Ayyukan Somogyi ba tare da rikici ba. Bincike ya gano cewa yana da raguwa fiye da yadda ake tsammani ya kasance, kuma akwai jayayya game da abin da zai haifar. Glucose mai saurin karuwanci yakan faru sau da yawa bayan sautin kwantar da hankali a cikin kwayar cutar, a cewar wani takarda da aka wallafa a 2013. Abubuwan da yasa cutar sukari ya kasance high bayan an yi nazarin maganin hypoglycemia marar lahani bayan an magance matsalar ta hanyar gudanarwa glucose.
Yaya aka gano Somogyi Effect?
Lokacin da wanda ke da ciwon sukari yana farkawa tare da matakan jini a cikin safiya, mai bada sabis na kiwon lafiya zai bada shawara akan gwada glucose jini a tsakiyar dare, mai yiwuwa tsakanin 2 am da 3 na safe Idan matakan jini ba su da yawa a wannan lokacin amma Da safe, mai yiwuwa ne mai haƙuri zai fuskanci sakamako na Somogyi.
Idan matakan jini yawanci a kusa da 2 zuwa 3 na safe, wannan yana nufin cewa mai haƙuri zai bukaci karin insulin a cikin dare. Za a iya samun wannan ta hanyar canza tsarin jadawali ko kara yawan sashin insulin.)
Yaya aka hana Kwayar Somogyi da Bi da shi?
Kwararren likita ko ma'aikatan kiwon lafiya zai bayar da shawarar canje-canje na sukar insulin ko kwanciyar lokacin kwanciyar hankali don hana yaduwar jini daga matsewa a cikin tsakiyar dare. Tare da magani mai kyau, matakan sukari na safiya zai inganta.
Sources:
Dinsmoor, Robert. "Somogyi Effect." Diabetesselfmanagement.com 15 Aug. 2006. Ciwon Kai-Kai.
Bolli GB, Perriello G, Fanelli CG, De Feo P. Tsarin glucose na jini marar kyau a irin na ciwon sukari mellitus. Ciwon sukari Kulawa . 1993 Dec; 16 Suppl 3: 71-89.
Choudhary P, Davies C, Emery CJ, Heller SR. "Shin matakan glucose masu azumi sun bada shawara game da hypoglycaemia maras kyau? Somogyi ya fi fiction fiye da gaskiya?" Ciwon sukari Med. 2013 Aug 30 (8): 914-7. Doi: 10.1111 / dme.12175. Afub 2013 Mayu 15.