Syndrome Somogyi okanye syndrome esingapheliyo kwencindi libanda (SKHPI): iimpawu, uxilongo, unyango

syndrome Somogyi kaThixo - isifo inqabile kodwa obufihlakeleyo, ingakumbi abantu abaziwayo ukubandezeleka seswekile. njani ukuyibona nokuba uyakwazi iyanyangeka?

I-concept syndrome Somogyi

Xa seswekile kufuneka kubalwe ngokuchanekileyo ithamo insulin, kodwa kunokuba nzima ukuyenza, leyo igcwele iingxaki. Umphumo uba rhoqo libanda, iziyobisi Somogyi syndrome. Ngamanye amazwi, le syndrome esingapheliyo kwencindi libanda. nososayensi Michael Somogyi wafunda lo mba ngo-1959 kwaye bagqiba ukuba ukuthathwa amathamo ngokugqithisileyo ukwimo kudale hypoglycemia - ukuhla kumanqanaba iswekile egazini. Oku kukhokelela nokukhuthaza hormone impendulo kontrinsulinovyh - hyperglycemia nkobe (ukwanda kwinqanaba iswekile egazini).

Kubonakala ukuba ngalo naliphi na ixesha kwinqanaba insulin igazi iphezulu kunase zinqwenelekayo, apho kunokwenzeka enye ezikhokelela hypoglycemia, yaye kwelinye - to ukudla. A ukukhululwa hormone ebangela jinga kontrinsulinovyh abasisigxina kwinqanaba iswekile egazini, ebangela ukuba amanzi engazinzanga seswekile, kwaye kunokukhokelela ketonuria (acetone in nomchamo) kunye ketoacidosis (ingxaki of diabetes).

amanqaku ngembali

Insulin saqala ukusetyenziswa ngempumelelo ngo-1922, emva koko waqalisa isifundo ebanzi yeziphumo yayo emzimbeni, kwenziwa amalinge phezu kwezilwanyana nabantu. Izazinzulu ziye zafumanisa ukuba amathamo aphezulu beziyobisi izilwanyana kubangela yokothuka hypoglycemic, ngokufuthi ngokungasingisi kufeni. Kuye kwacetyiswa inani elikhulu yeziphumo zinetyhefu hormone kwi emzimbeni. Kuloo minyaka yokuqala, ichiza asetyenziselwa ukunyanga izigulana anorexia ukuze kwandiswe ubunzima bomzimba wabo. Oku kwakhokelela ekubeni utshintsho rhoqo kwemigangatho iswekile egazini, utshintsho ukusuka hypoglycemia ukuya hyperglycemia. Emva kokugqiba le khosi zonyango isigulane wabonisa iimpawu seswekile. A nomphumela ofanayo yenzeka kwengqondo ngenxa unyango kwezigulane ngesifo "uyothuka insulin". Pattern phakathi ukwanda idosi ukwandisa insulin wabonisa glycemia kunye nonyango seswekile. Le nto ke iye yaba eyaziwa kwixesha elizayo njengoko Somogyi syndrome.

iimpawu

Njengoko a self-ukuqonda ukuba umzimba ubethwa libanda, ezinganyangekiyo kwencindi? Somogyi syndrome lubonakala ziimpawu:

• kukho ukonakala jikelele lezempilo, kukho bubuthathaka,
• ngequbuliso intloko ebuhlungu, isiyezi, okunokuba kakhulu emva kokutya ubisi yokudla carbohydrate,
• ubuthongo, ukuphazamiseka, uba nexhala ezingekhoyo, ngokufuthi amabi,
• kukho imvakalelo rhoqo kukudinwa, ukozela,
• uvuke kusasa nzima, abantu bazive bethwaliswe
• angavela ukungaboni ngohlobo inkungu phambi kwamehlo akhe, isigqubuthelo okanye ezidanyazayo amatshatshazi, amatshatshazi amhlophe,
• senhliziyo okukhulu, kaninzi kwicala elibi,
• kwanda, inzuzo weight.

Iimpawu enjalo kuyothusa intsimbi, kodwa lingabi isizathu izicacele ukuba kuyokufunyaniswa isifo, njengoko iimpawu izifo ezininzi. A umfanekiso opheleleyo iinkqubo ezikhoyo emzimbeni kufumaniseka ukuba aba lolu ngoncedo iimvavanyo.

ekuxilongweni

Uxilongo "Somogyi syndrome" ukunceda ezi mpawu zezi:

• ukuvela amabhunga ketone (acetone) kwi umchamo,
• Iimpawu level nokunyuka glucose ezibukhali kwaye okukhawulezayo ukusuka ezantsi ukuya phezulu kwaye ubuyele imini yonke,
• hypoglycemia ecacileyo okanye lokukwekwa,
• ngcono iswekile for njengomkhuhlane,
• ngokuba seswekile sibi kunye ukunyusa amathamo kwencindi yaye kuphucula nokuncipha.

Somogyi syndrome uphethwe kwiimeko ezininzi kunzima nkqu iingcaphephe, akukho mfuneko yokubonisana endocrinologist anganika iziphumo ezichanekileyo ngoko nangoko. Oku kungenxa yokuba iimpawu yomguli kunye nezifo ukuba kwenzeka emzimbeni wakhe, uyakwazi umqondiso ibe nako ngokugqithiseleyo kwencindi, kunye intsilelo yayo. Lo mfanekiso kwezonyango kwezi nkqubo ziyafana, libanda esinganyangekiyo kungabonwa kuphela phantsi kweliso kunye nokufunda ngenyameko abanezakhono hlaziya rhoqo. Uxilongo isekelwe izinto ezifana ntetho lwezonyango boqobo, chaza rhoqo hypoglycemic, a blood glucose ukuhla.

diagnosis umehluko

Somogyi kwi lokufunyaniswa syndrome edidekile lula nge ezibonisa isenzeko of "kusasa", njengoko iimpawu zezi ezimbi ezimbini twatse. Noko ke, kukho umahluko omkhulu. Lo mkhuba "isifingo" ufunyanwa kuphela izigulane seswekile, kodwa kubantu abasempilweni, wabonakalisa hyperglycemia isifingo. Oku kubangelwa kukungabikho amanqanaba insulin carcinomas ngenxa intshabalalo ekhawulezileyo kwesibindi okanye ukukhululwa oluphuculweyo bakhe hormone contrainsular kusasa. Ngokungafaniyo Somogyi syndrome, ukubonakala kwalo mmangaliso akuxhomekekanga lwandulelwe hypoglycemia. Ukuba abeke uphethwe oluchanekileyo kuyimfuneko ukwazi igazi inqanaba iswekile ukususela ezimbini ukuya kwezine kusasa, xa izigulane ezondeleyo libanda syndrome oko uvikivwa, kwaye unomonde hyperglycemia ngesifingo Akatshintshi. Unyango lwezi zifo sisichasi: kwimeko yokuqala, ithamo-insulin lifinyele, ngoko okwesibini - ukwandisa.

Iimpawu seswekile kwi syndrome Somogyi

Le yindibaniselwano seswekile kunye syndrome of libanda esingapheliyo kwencindi (SKHPI) unika iziphumo ezonakalisayo, esi sifo kuba nzima kakhulu. Ngokuchasene imvelaphi lokufumana rhoqo lidle ngokugqithiseleyo hypoglycemia uba ifomu afihlakeleyo. Somogyi syndrome kwi seswekile kuboniswa kwi imeko jikelele yomguli, nokuziphatha kwakhe.

utshintsho ngokukhawuleza of isimo kungekho sizathu - simanga ngokugula enjalo rhoqo. Xa zokuzonwabisa isifundo naliphi na ishishini okanye umdlalo emva kwethutyana umntu ngesiquphe ulahlekelwa umdla yonke into ihamba phambili, kuba ngababuthuntu kwaye ayinamdla, akakukhathalele iimeko zangaphandle. Ngamanye amaxesha inzondo unmotivated okanye ndlongo zinokwenzeka. Amaxesha amaninzi, kukho kwanda ngayo isigulane, kodwa, nangona oku, maxa wambi kukho isimo sengqondo esibi ukuba ukutya, indoda uyala ukuba adle. Ezi mpawu kwenzeka-35% yezigulane. izikhalazo Okuninzi oqhelekileyo ukuhlaselwa ubuthathaka, isiyezi, intloko ebuhlungu, ukuphazamiseka kokulala. Abanye qaphela ongaboniyo ngesiquphe elifutshane elide ezibonwayo (ngokohlobo isigqubuthelo phambi kwamehlo okanye eliqaqambileyo "iimpukane").

unyango

Unyango lwe onaso ibandakanya Somogyi ubalo oluchanekileyo amathamo insulin. Ukulungiselela le njongo, imali elawulwa kufuneka licwangciswe, oko kuncitshiswa 10-20% phantsi koqwalaselo olungqongqo malunga nesigulane eso. iphathwa elingakanani Somogyi syndrome? Kuxhomekeka ebonisa ngamnye iindlela ezahlukeneyo ulungiso ezisetyenzisiweyo - fast and kade. Okokuqala kuqhutywa kwiiveki ezimbini ezidlulileyo, owesibini kuthatha iinyanga 2-3.

Xa uqala kuqala, omnye usenokucinga ukuba ukwehla ithamo insulin kuya kukhokelela yokuduka onaso, kodwa ayikho. ukuncitshiswa nje kule mali ka iziyobisi ezilawulwa ntoni na ukuphucula indlela seswekile, unyango kufuneka ezintsonkothileyo. Ichaphazela ukudla (ukubuyisela isixa carbohydrate ufukame ukutya), umsebenzi ngokwasemzimbeni. Insulin ilawulwa phambi kwesidlo ngasinye. Kuphela indlela ebanzi unako ukuvelisa iziphumo ezihle ekulweni nxamnye syndrome Somogyi.

Outlook

Ubhaqo ngexesha syndrome esingapheliyo kwencindi libanda na izimali ezintle. Kubalulekile ukuba ukuthatha unonophelo wena, iziganeko zomzimba, naluphi na utshintsho iwonga kunye ukonakala impilo ngoko nangoko udibane nogqirha, umzekelo, kwi- Centre of hormone kwi Academic (eMoscow). Isiphumo esihle yonyango indima engundoqo edlalwa yi-lobungcali emsebenzini yaye namava kugqirha. Xa akubonakali syndrome Ingxelo ezimbi: libanda oluqhubekayo kwencindi kuya kuyenza mandundu kuphela imeko yomguli, kuba seswekile siya siba sibi.

ukuvimbela

Main zokufikela zothintelo SKHPI ibandakanya isethi amanyathelo.

• Xa isifo seswekile kufuneka zilandelwe ngqo ukutya kuhambisane kakuhle kwisigulana kwaye iqinisekisa imbuyekezo ye ekudleni ukutya. Umntu kufuneka bacwangcise izidlo zenu, nibe nako ukubala ixabiso ukutya ekudleni bagqitywe, ukuvelisa ephunyeziweyo yokutshintsha olwaneleyo imveliso xa kuyimfuneko.
• therapy insulin siyaqhutywa ngokwemithamo ezifunekayo ukuze umntu othile. Umsebenzi ugqirha - ukuba kuyimfuneko ukwenza ulungiso, isigulana - esweni izehlo eziphilayo.
• imithambo rhoqo kubalulekile ukuba izigulane kunye seswekile, ingakumbi xa isigulana ungenzi okanye zibe zihleli-phantsi emsebenzini.
• esweni rhoqo sifo, ezingxoxo endocrinologist kwi ishedyuli ngamnye njengoko kuyimfuneko.
• uvavanyo olwaneleyo ngemeko umzimba, ezempilo, ozibonayo ngokukhawuleza iimpawu ekrokrisayo.
• Kudalwe iimeko ukuzeyisa kubomi babo bemihla ngemihla, ukufundisisa abaguli kunye namalungu eentsapho imigaqo ukuzibamba.

Somogyi syndrome kubantwana

Abantwana abaphethwe seswekile, abakwazi sihlale umkhondo utshintsho kwi imeko ephilayo, amaxesha amaninzi oku akwenzeki, ke ngoko, ukulawula indlela yokugula - abazali khathalela. ubukele kakuhle usana yokulala, njengoko insulin kakhulu ebusuku, nokuziphatha yomntwana na onokumxelela lukhulu. Xa uphiwa ukubonakalalisa syndrome ukulala kuba xakeka ezingekhoyo, ekhatshwa ukuphefumla ingxolo. Umntwana nimemeze okanye ukukhala ebuthongweni bakhe ngenxa amabi. Bavuka enzima, ngoko nangoko emva kokuba kwenzeka ukudideka.

Zonke ezi mpawu - ngumqondiso imeko hypoglycemic. imini yonke umntwana uhlala ngokwaseburhulumenteni iyathamba, yena abangenazigqibo, udikwa ngokukhawuleza, akukho umdla imidlalo okanye izifundo kuye. Apathy kungenzeka ngesiquphe, kungekho sizathu, ngethuba leseshoni. uqhambuko rhoqo uchuku unmotivated, kwesimo senhliziyo engalindelekanga. Amaxesha amaninzi, abantwana kunye syndrome uphethwe kukudakumba. Unyango lwenziwa kumgaqo efanayo naleyo abadala. Centre hormone kwi Academic, umzekelo, inceda abantwana ukumelana syndrome Somogyi.