Haddii ay jireen shinni hargab doofaar ah, mid ka mid ah qoyaanka dhabta ah ayaa noqon doona "Somogyi." Qaar ka mid ah barashada barashada xanuunka sonkorowga waxaa laga yaabaa inaad u aragto ereygan adoo tixraacaya saameynta Somogyi , mararka qaarkood loo yaqaan "hyperglycemia.
Magaca dhakhtarka reer Hungary oo markii hore ku sharraxay 1938, saamaynta Somogyi wuxuu dhacaa marka heerarka sonkorta dhiigga (glucose) ay hoos u dhacaan habeenkii, taasoo keenta in jidhku ka badato, taasoo keenaysa sonkorta dhiigga ee subaxda.
Maxaa keena saamaynta Somogyi?
Saamaynta 'Somogyi' ee "rebound" ayaa badanaa keena qiyaasta insulin xad-dhaaf ah ama habeenkii oo la iska joojiyo si loo cuno cunto fudud oo la seexan karo. Labada ka mid ah kormeerayaashu waxay keeni karaan sonkorta dhiigga inay hoos u dhacaan badhtamaha habeenka, badanaaba calaamado la'aan. Xaqiiqdii, waxaa suurtagal ah in la seexdo si toos ah iyada oo loo marayo dhacdo sida hypoglycemia ah.
Inta lagu jiro hurdada, jidhku wuxuu ka soo horjeedaa heerarka sonkorta dhiiga oo hooseeya isaga oo sii deynaya hormoonada oo keena in beerku uu sii daayo glucose dhiiga. Hore hormoonnadaas ayaa markaa ka hortagaya gulukooska in la nuugo oo heerarka sonkorta dhiigguna uu sarreeyo.
Hoormoonka subaxdii ayaa sidoo kale saran heerarka sarreeya ee gulukooska - tan waxaa loo yaqaanaa astaamaha dawayn. Muddo gaaban gudeheeda, jidhku wuu ka baxay hypoglycemia ilaa hyperglycemia - dhammaantood markaan seexanayo. Ogsoonow in subaxda ugu sarreeya ee hyperglycemia ay tahay natiijada hypoinsulinemia habeenkii (insulin aan caadi aheyn) dadka badankoodna waxay u baahan doonaan insulin dheeraad ah.
Saamaynta Somogyi maahan wax khilaaf ah. Cilmi baaris ayaa ogaatay in ay ka yaryihiin marka loo eego guud ahaan, waxaana jira muran ku saabsan waxa ay sababi karto. Sonkorta dhiiga oo hooseysa ayaa dhacda inta badan ka dib markii aamusnaan la'aanta hypoglycemia, sida laga soo xigtay wargeys la daabacay 2013. Kiisaska heerkulka sonkorta dhiiggu sarreeyaa ka dib markii dhacdadii hypoglycemia epidemis ku dhacday ka dib markii lagu daaweeyay iyada oo lagu daaweeyo sonkorta.
Sidee loo ogaadaa saameynta Somogyi?
Marka qof qaba cudurka macaanku uu soo kiciyo heerarka sonkorta dhiigga oo sarreeya, subaxdii, bixiyaha xanaanada caafimaadka ayaa kugula talin kara in la tijaabiyo heerarka gulukooska dhiigga bartamaha habeenkii, oo u badanaaba inta u dhexeysa 2 subaxnimo iyo 3 subaxnimo Haddii heerarka sonkorta dhiiggu uu hooseeyo wakhtigaas sarreeya subaxdii, bukaanku waxaa laga yaabaa inuu hayo saameynta Somogyi.
Haddii heerka sonkorta dhiigga uu sarreeyo qiyaastii 2 illaa 3 subaxnimo, tani macnaheedu waa in bukaanku u baahan doono insulin badan inta lagu jiro habeenka. Tan waxaa lagu gaari karaa iyadoo la beddelayo jadwalka qiyaasta ama kordhinta qiyaasta insulin.)
Sidee bay saameyn ku yeelatay saamaynta Somogyi?
Dhakhtarka ama bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu kugula taliyo isbedelada qiyaasta insulinta ama qadada saacadaha jiifka ah si looga hortago heerarka sonkorta dhiigga inuu hoos u dhigo mid aad u hooseeya habeenkii. Qaadashada habboon, heerarka sonkorta dhiigga subaxda ayaa sare u qaadi doona.
Ilaha:
Dinsmoor, Robert. "Saameynta Somogyi." Diabetesselfmanagement.com 15 Aug. 2006. Diabetes Self-Management.
Bolli GB, Perriello G, Fanelli CG, De Feo P. Nocturnal glucose control oo ku saabsan nooca I ee diabetes mellitus. Diabetes Care . 1993 Dec; 16 Saynis 3: 71-89.
Choudhary P, Davies C, Emery CJ, Heller SR. "Miyay heerarka gulukoosta ee sooma sarreeya ay soo jeedinayaan macluushka dhiig-galka ee" hypoglycaemia "? Saameynta Somogyi-wax badan oo ka badan xaqiiqda? Diabet Med. 2013 Aug; 30 (8): 914-7. doi: 10.1111 / dme.12175. Epub 2013 May 15.