Somogyi ta ciwo ko na kullum ciwo na insulin yawan abin sama (SKHPI): cututtuka, ganewar asali, magani na

Somogyi ta ciwo - a rare amma insidious cuta, musamman shahara mutane fama da ciwon sukari. Ta yaya za a iya gane shi, kuma ko za ka iya iya warke?

A ra'ayi ciwo Somogyi

A ciwon sukari bukatar da daidai lissafi na kashi na insulin, amma sau da yawa shi iya zama da wuya a yi, wanda shi ne fraught tare da rikitarwa. A sakamakon zama m miyagun ƙwayoyi yawan abin sama Somogyi ciwo. A wasu kalmomin, shi ne a kullum ciwo na insulin yawan abin sama. American masanin kimiyya Michael Somogyi karatu wannan sabon abu a 1959 da kuma ƙarasa da cewa ci na wuce kima allurai daga cikin abu tsokani da qarancin ruwa da - wani karu a jini glucose matakan. Wannan take kaiwa ga ruri daga hormones da kontrinsulinovyh martani - hyperglycemia irinta (karuwa a jini glucose matakin).

Sai dai itace cewa a kowane lokaci a cikin jini insulin matakin ne mafi girma fiye da ake so, wanda a daya faru manyan zuwa da qarancin ruwa da kuma a cikin wani - to overeating. A saki hormones Yanã m kontrinsulinovyh swings a jini glucose matakin, haddasa wani m kwarara daga ciwon sukari, kuma zai iya kai wa ketonuria (acetone a fitsari) da kuma ketoacidosis (wahala na ciwon sukari).

tarihin asali

Insulin aka farko amfani da nasara a 1922, bayan da ya fara wani m nazarin makamantanta a jiki, da za'ayi gwaje-gwajen a dabbobi da mutane. Masana kimiyya sun gano cewa high allurai da miyagun ƙwayoyi a cikin dabbobi sa hypoglycemic buga, sau da yawa abu don mutuwa. Yana da aka nuna a babban yawan guba sakamakon da hormone a jiki. A wadanda farkon shekaru, da miyagun ƙwayoyi amfani da su bi marasa lafiya da anorexia domin ya kara da jiki nauyi. Wannan ya kai ga m canje-canje a cikin jini glucose matakan, bambancin daga qarancin ruwa zuwa hyperglycemia. Bayan kammala da hanya na lura da haƙuri nuna alamun ciwon sukari. A irin wannan sakamako ya faru a ilimin halin tababbu domin lura da marasa lafiya da schizophrenia "insulin tunkaro". Juna tsakanin karuwa a sashi da kuma kara insulin nuna glycemia da kuma lura da ciwon sukari. Wannan sabon abu ya zama sananne a nan gaba kamar yadda na Somogyi ciwo.

cututtuka

Kamar yadda wani kai-fahimtar cewa jiki fallasa su na kullum yawan abin sama na insulin? Somogyi ciwo aka bayyana ta bayyanar cututtuka:

• akwai wani janar tabarbarewar kiwon lafiya, akwai wani rauni,
• kwatsam ciwon kai, dizziness, wanda zai iya cika fuska tafi bayan abin da ake ci ci daga carbohydrates,
• damuwa barci, ya zama m da kuma na waje, sau da yawa yãyen mafarki,
• akwai wani m ji na gajiya, sleepiness,
• tashi da safe wuya, mutane jin shere,
• iya bayyana Heart hangen nesa a cikin nau'i na wani hazo da idanunsa, shãmaki ko walƙiya mai haske spots,
• yanayi swings, sau da yawa a cikin wani mummunan shugabanci,
• ƙara ci, da nauyi riba.

Irin wannan cututtuka ana gangami kararrawa, amma ba zama dalilai na bayyane ga ganewar asali, kamar yadda akwai ãyõyi na da yawa cututtuka. A cikakken hoto na matakai abin da ke faruwa a cikin jiki za a iya gano tare da taimakon gwaje-gwaje.

bincikowa da

Ganewar asali "Somogyi ciwo" taimake wadannan cututtuka su ne:

• bayyanar ketone jikuna (acetone) a cikin fitsari,
• kaifi da kuma m hawa da sauka glucose matakin Manuniya daga low zuwa high da kuma mayar da su a ko'ina cikin yini,
• bayyane ko a fakaice da qarancin ruwa da
• inganta glucose for colds,
• da ciwon sukari worsens tare da kara allurai na insulin da kuma inganta tare da rage.

Somogyi ciwo ganewar asali a mafi yawan lokuta shi ne wuya ko da ga masana, ba dole ba ne wani endocrinologist shawara iya ba daidai sakamakon nan da nan. Wannan shi ne saboda gaskiyar cewa haƙuri ta bayyanar cututtuka da kuma cuta cewa faruwa a jikinsa, zai iya sigina a matsayin overabundance na insulin, kuma ta gaira. The asibiti hoto a wadannan matakai ne m, na kullum yawan abin sama za a iya gano kawai a karkashin kulawa da kuma m gwani nazarin nazarin. Ganewar asali dogara ne a kan irin abubuwan da hankula asibiti gabatar, m hypoglycemic jihar, wani babban jini glucose hawa da sauka.

bambanci ganewar asali

Somogyi a cikin ganewar asali na ciwo ne sauƙin rude da manifestations na sabon abu na "alfijir", kamar yadda bayyanar cututtuka na wadannan biyu pathologies ne m. Duk da haka, akwai gagarumin bambanci. The sabon abu na "alfijir" da aka samu ba kawai a cikin marasa lafiya da ciwon sukari, amma kuma a cikin m mutane, ya bayyana alfijir hyperglycemia. Wannan shi ne saboda wani rashin muhimmi insulin matakan saboda m halakar hanta ko inganta saki contrainsular hormone da safe. Ba kamar Somogyi ciwo, bayyanuwar wannan sabon abu ne ba wadda ta gabãta daga qarancin ruwa. Don sa a daidai ganewar asali wajibi ne a san jini glucose matakin daga biyu zuwa hudu a cikin safe, a marasa lafiya da na kullum yawan abin sama ciwo shi ne saukar da, da kuma a cikin wani haƙuri da hyperglycemia alfijir ya ba ya canja. Jiyya daga cikin wadannan cututtuka ne m: a farkon yanayin, da insulin kashi da aka rage, sa'an nan na biyu - ƙara.

Features na ciwon sukari a cikin ciwo Somogyi

A hade da ciwon sukari da ciwo na kullum yawan abin sama na insulin (SKHPI) ya ba da wani detrimental sakamako, da cuta ne musamman wuya. Kan bango na kullum samun wuce kima allurai da qarancin ruwa da zama latent form. Somogyi ciwo a ciwon sukari da aka nuna a cikin general yanayin haƙuri, da kuma hali.

Ba zato canje-canje na yanayi ba tare da dalili - a m sabon abu da irin wannan ciwo. Lokacin da ayukan hutu darasi wani kasuwanci ko wasan bayan dan lokaci da mutum ba zato ba tsammani hasarar sha'awa cikin duk abin da faruwa, shi ya zama sluggish da apathetic, sha'aninsu dabam zuwa waje yanayi. Wani lokaci unmotivated fushi ko ta'adi iya faruwa. Sau da yawa sosai, akwai wani ƙãra ci a haƙuri, amma, duk da wannan, wani lokacin akwai wani mummunan hali zuwa abinci, mutumin bai yarda ya ci. Wadannan cututtuka faruwa a 35% da marasa lafiya. More kowa gunaguni hada da rauni harin, juwa ko jiri, ciwon kai, barci tashin hankali. Wasu lura kwatsam kuma short-rayu gani hanawa (a cikin nau'i na wani shãmaki a gaban ko mai haske "tashi").

magani

Jiyya na ciwo ya shafi Somogyi daidai lissafi na insulin allurai. A saboda wannan dalili, da adadin gudanar dole ne a gyara, shi ne rage by 10-20% karkashin tsauraran kallo na haƙuri. Yaushe aka bi da Somogyi ciwo? Dangane da mutum alamomi daban-daban gyara dabarun amfani - azumi da kuma jinkirin. Da farko gudanar a cikin past makonni biyu, na biyu daukan 2-3 watanni.

A duban farko, wanda zai yi tunanin cewa wani raguwa a insulin kashi zai kai ga bacewar na ciwo, amma shi ba. Mere raguwa a adadin gudanar miyagun ƙwayoyi ba inganta cikin shakka daga ciwon sukari, da magani dole ne hadaddun. Ana rinjayar rage cin abinci (ga normalize da adadin carbohydrates cinye tare da abinci), jiki aiki. Insulin aka gudanar kafin kowane abinci. Kawai wani m m iya samar da sakamako mai kyau a cikin yaki da ciwo Somogyi.

Outlook

Dace ganewa na kullum ciwo na insulin yawan abin sama yana tabbatacce kintace. Yana da muhimmanci a kula da kanka, da sakonni na jiki, da wani matsayi canje-canje da kuma tabarbarewar kiwon lafiya nan da nan tuntubar likita, misali, a cikin Center of Endocrinology a Academic (Moscow). The m sakamako na magani na asali rawa da kwarewa da kuma kwarewa daga likita. Lokacin da undiagnosed ciwo ya fi karfinsu kintace: gudana yawan abin sama na insulin za kawai worsen da yanayin haƙuri, da ciwon sukari da aka samun muni.

rigakafin

Main SKHPI rigakafin destinations hada da wani sa na matakan.

• A ciwon sukari ya kamata a tsananin bin rage cin abinci yadda ya kamata ya dace da haƙuri da kuma tabbatar da diyya na carbohydrate metabolism. A mutum ya shirya ka abinci, ka iya yin lissafi da darajar da carbohydrate abinci cinye, samar da wani isasshen sauyawa daga cikin samfurin idan ya cancanta.
• Insulin far da aka gudanar a allurai da ake bukata domin wani musamman haƙuri. aiki na likita - idan wajibi ne don yin gyara, da mãsu haƙuri - saka idanu da abin da ya faru da kwayoyin.
• Constant motsa jiki ne zama dole ga marasa lafiya da ciwon sukari, musamman idan haƙuri ne masu zama a gida ko da wani zauna-saukar aiki.
• Constant monitoring da cutar, an endocrinologist shawara a kan wani mutum jadawalin da kuma matsayin da ake bukata.
• Isasshen kima na da yanayin jiki, kiwon lafiya, m ganewa na m bayyanar cututtuka.
• Halittar yanayi na kai-kula da a su a rayuwarsu ta kullum, da nazari da marasa lafiya da kuma 'yan uwa da ka'idodin da kamunkai.

Somogyi ciwo a yara

Yara fama da ciwon sukari, ba zai iya ko da yaushe kiyaye hanya canje-canje a cikin jihar daga cikin kwayoyin, sau da yawa wannan ba zai yiwu, saboda haka, don sarrafa cikin shakka daga cikin rashin lafiya - kula iyaye. Hankali duba ga barci baby, a matsayin mataki na insulin ne yafi a cikin dare, kuma da yaron ya hali zai iya gaya mai yawa. Lokacin da buɗi na ciwo barci shi samun m da kuma na waje, tare da m numfashi. Ƙila yaron ya yi kururuwa, ko kuka a barci saboda yãyen mafarki. Farkawar nauyi, nan da nan bayan da ta auku rikice.

Duk wadannan manifestations - da wata ãyã daga wani hypoglycemic yanayin. All rana da yaron ya zauna a cikin flaccid jihar, shi ne capricious, m, yana da wani amfani a wasanni ko karatu. Apathy iya faruwa ba zato ba tsammani, ba tare da dalili, a cikin shakka daga wani zaman. M annobar cutar da unmotivated ta'adi, yanayi swings ne unpredictable. Sau da yawa, yara da ciwo da wahala daga ciki. Jiyya ne da za'ayi a kan wannan manufa a matsayin cewa daga manya. Endocrinology Center a Academic, misali, taimakawa yara jimre da ciwo Somogyi.