Syndrome o Somogyi ranei syndrome ma'i o te taiāki tuwhena rawa (SKHPI): tohumate, te tātaritanga, maimoatanga o

syndrome o Somogyi - he mate onge engari haavare, rawa iwi rongonui e mate ana i te mate huka. Me pehea e taea ia ite i te reira, a taea ranei te ora koe?

Ko te syndrome ariā Somogyi

I roto i te mate huka titau te tātaitanga tika o te horopeta o taiāki huka, engari maha e taea e te reira uaua ki te mahi, e, he mahi wehe ki pōauautanga. Ko te hua riro tuwhena rawa tarukino tamau Somogyi syndrome. I roto i te mau parau te tahi atu, ko reira he syndrome ma'i o te taiāki tuwhena rawa. ako pūtaiao American Michael Somogyi tenei āhuatanga i roto i te 1959, ka mutu e te rōpū o pota nui o te taonga whakaoho e suka - he hekenga i roto i ngā taumata toto kūhuka. arata'i tenei ki te whakaongaonga o hormones me whakautu kontrinsulinovyh - Hyperglycemia fakaakeake (hua i roto i te taumata kūhuka toto).

Huri i te reira i roto i taua i tetahi wa i roto i te taumata toto taiāki he tiketike ake e hiahiatia, nei i roto i te kotahi take ārahi ki suka, a i roto i tetahi atu - ki te opue. He tuku o hormones ai hīrere kontrinsulinovyh tūturu i roto i te taumata toto kūhuka, meinga he rere iu o te mate huka, a taea arahi ki ketonuria (hauwaiwaro i roto i te mimi) me ketoacidosis (pōauautanga o te mate huka).

meka hītori

Taiāki huka i whakamahia tuatahi pai i roto i te tau 1922, i muri i nei timata te ako whānui o ona pānga i runga i te tinana, kawea atu ngā i runga i te kararehe, me te tangata. Kua kitea Scientists e meinga pota tiketike o te tarukino i roto i nga kararehe ru hypoglycemic, maha ārahi ki te mate. I te whakaaro te reira i te tau nui o ngā pānga paitini o te ira i runga i te tinana. I roto i aua tau wawe, whakamahia te tarukino ki te hamani tūroro ki anorexia i roto i te tikanga ki te whakapiki ake i to ratou taimaha tinana. arahina tenei ki huringa tamau i roto i ngā taumata toto kūhuka, rerekētanga i suka ki Hyperglycemia. Runga ki te whakaotinga o te akoranga o te maimoatanga whakakitea te manawanui tohu o te mate huka. I puta he pānga rite i roto i te mate hinengaro mo te maimoatanga o te tūroro ki te wairua tuakoi "puranga taiāki". whakakitea tauira i waenganui i hua i roto i te inenga me te whakapiki ake i taiāki glycemia me te maimoatanga o te mate huka. Kua riro tenei tītohunga mohiotia i roto i te heke mai ka rite ki te syndrome Somogyi.

tohu

Ka rite ki te whaiaro māramatanga-e kitea te tinana e ki tuwhena rawa ma'i o te taiāki? whakakitea syndrome Somogyi e tohu:

• i reira ko te ino whānui o te hauora, i reira te mea he ngoikore,
• ohorere ānini, whanoke, e taea tino haere i muri i te horomanga kai o te warowaihā,
• moe oto, riro manukanuka me fakangalingali, maha ri'ari'ai,
• i reira ko te mana'o tamau o te ngenge, sleepiness,
• uaua ara ake i roto i te ata, ite lōmekina iwi,
• Ka taea e puta atarua i te puka o te kohu i mua ona kanohi, arai e whakauru ana he wahi kanapa ranei,
• hīrere tūāhua, maha i roto i te aronga kino,
• nui haere te hiahia, te taimaha taonga.

Kei te mahunga taua tohu pere, engari e kore e kia meinga take kitea hoki te tātaritanga, kia rite ki he tohu o maha mate. Ka taea te ata te pikitia oti o nga tukanga tupu i roto i te tinana ki te awhina o whakamātautau.

tātaringa

Tātaritanga "Somogyi syndrome" tauturu i enei tohu e:

• ahua o tinana ketone (hauwaiwaro) i roto i te mimi,
• tohu taumata rerekē kūhuka koi me te tere i iti ki tiketike, me te hoki ki puta noa i te ra,
• e suka āta paruhi ranei,
• pai ake te kūhuka mō maremare,
• hoki te mate huka worsens ki te whakanui ake pota o taiāki huka, me te whakapai ake ki te heke.

he uaua Somogyi tātaritanga syndrome i roto i nuinga o te wā noa hoki tohunga, e kore tika e taea e te kōrero tafe'anga hoatu hua tika tonu. Ko e tika ana ki te meka e taea tohu o te manawanui me disorders e puta i roto i tona tinana, tohu hei maha atu o taiāki, me tona takarepa tenei. Ko te pikitia haumanu i roto i enei tukanga e taea te kitea ōrite, tuwhena rawa ma'i anake i raro i te tirotiro tamau, me te mohio ako tupato tātari. hāngai ana tātaritanga te i runga i taua āhuatanga rite te whakaaturanga haumanu angamaheni, āhua hypoglycemic auau, he rerekē te kūhuka toto tiketike.

tātaritanga pārōnaki

Somogyi i te tātaritanga o te syndrome ko ngāwari raruraru ki te mau faaiteraa o te āhuatanga o "ata", rite ki he ōrite nga tohu o enei pathologies e rua. Heoi, i reira e nui ngā rerekētanga. kitea te āhuatanga o "ata" Kei te kore anake i roto i te tūroro ki te mate huka, engari ano hoki i roto i te iwi hauora, whakakitea ana e ia te Hyperglycemia ata. Ko te tika ki te kore o ngā taumata taiāki basal tenei e tika ana ki te whakangaromanga tere o tona ate tuku whakarei ranei taiki contrainsular i te ata. Rerekē Somogyi syndrome, e kore te faaiteraa o tenei āhuatanga mua e suka. Hei hoatu i te tātaritanga tika ko ki te mohio te taumata toto te kūhuka i rua ki te wha i roto i te ata e tika ana, i roto i tūroro ki syndrome tuwhena rawa ma'i te tuku iho i te reira, a i roto i te manawanui ki te ata Hyperglycemia kore ia e huri i. Maimoatanga o enei mate ko te ritenga: i roto i te take tuatahi, kua heke te horopeta taiāki, ka te tuarua - ki te whakapiki ake i.

Āhuatanga o te mate huka i roto i te syndrome Somogyi

Ko te huinga o te mate huka ki te syndrome o tuwhena rawa ma'i o te taiāki (SKHPI) homai he pānga te waipiro, ko ngā uaua te mate. riro ki te whakamārama o te fariiraa tonu pota nui o e suka puka moe. kitea Somogyi syndrome i roto i te mate huka i roto i te huru whānui o te manawanui, me tona whanonga.

huringa ohorere o te huru, kahore take - he āhuatanga auau ki taua mate. A, no te haapiiraa runaruna tetahi mahi kēmu ranei i muri i te i ohorere ngaro te tangata moni i roto i te mea katoa e haere i runga, riro te reira puhoi, me te tau'a, tau'a ki tūkunga waho. I te tahi taime e taea te riri roa ho'i i fakaaoao ranei puta. Tino maha, i reira he he hiahia nui haere i roto i te manawanui, engari, ahakoa tenei, i ētahi wā i reira he he huru kino ki te kai, te tangata kahore ki te kai. Enei tohu tupu i roto i te 35% o tūroro. amuamu atu noa ngā patua ngoikore, whanoke, pāhoahoa, ngangau moe. Ētahi mōhio he waimaerotanga ataata ohorere, me te poto-ora (i roto i te puka o te arai i mua i te kanohi ranei kanapa "rere").

maimoatanga

Treatment o te syndrome tā Somogyi tātai tika o pota taiāki. Hoki tenei whakaaro, me te whakaritea te nui faaterehia, e heke ai e 10-20% i raro i te mātakitaki tino o te manawanui. Kia pehea te roa tukinotia te Somogyi syndrome? Tei runga i te tohu takitahi rerekē tikanga te ako whakamahia - nohopuku me te puhoi. whakahaere Tuatahi runga nga wiki e rua kua pahure, e 2-3 marama te tuarua.

I para tuatahi, kia kotahi te whakaaro e te whakaiti i roto i te taiāki horopeta e arahi ki te ngaro o te syndrome, engari ehara i te mea. Mere whakaiti i roto i te nui o te tarukino whakahaerea e kore te whakapai ake i te akoranga o te mate huka, me kia whīwhiwhi te maimoatanga. Pānga ki kai (ki haerenga i te nui o te warowaihā pau ki te kai), mahi tinana. whakahaere taiāki te aroaro o ia kai. Ka taea e anake te huarahi whānui tukua hua pai i roto i te whawhai ki te syndrome Somogyi.

outlook

He matapae pai rapunga wā o te syndrome ma'i o te taiāki tuwhena rawa. He mea nui ki te tango i te tiaki o koe, te tohu o te tinana, i tetahi huringa tūnga me te ino o te hauora kōrero tonu te tākuta, hei tauira, i roto i te Center o Endocrinology i te Academic (Moscow). Ko te putanga pai o te maimoatanga o te tūranga taketake takaro e te ngaio, me te wheako o te tākuta. A, no te syndrome undiagnosed matapae kino: haere tonu tuwhena rawa o te taiāki huka ka kē anake te huru o te manawanui, kei te whiwhi kino mo te mate huka.

ārai

ngā Main ūnga ārai SKHPI te huinga o mehua.

• I roto i te mate huka kia tino piri ki te kai tika āu ki te manawanui me te āta whakarite utu o te warowaihā pākia. kia whakamahere te tangata o koutou kai, kia taea ki te tātai i te uara o te kai te warowaihā pau, te whakaputa i te whakakapinga tika o te hua, ki te tika.
• whakahaere taiāki therapy te i roto i te pota e hiahiatia ana mo te manawanui ngā. mahi o te tākuta - ki te tika ki te hanga i te ako, te manawanui - aroturuki i te pā o te rauropi.
• he tika hoki tūroro ki te mate huka mahi tamau, rawa, ki te he sedentary te manawanui ranei i te mahi noho-iho.
• aroturuki tamau o te mate, he kōrero tafe'anga i runga i te hōtaka takitahi, me te rite hiahiatia.
• aromatawai rawaka o te huru o te tinana, te hauora, te kitenga tere o tohu hihira.
• Creation o ngā āhuatanga mō te mana whaiaro-i roto i to ratou oraraa ia rā, te ako o tūroro me melo o te utuafare i te mau parau tumu o te mana-whaiaro.

syndrome Somogyi i roto i ngā tamariki

Tamariki e mate ana i te mate huka, e kore e taea te pupuri tonu ara o huringa i roto i te āhua o te rauropi, maha e kore he taea tenei, Na, ki te whakahaere i te akoranga o te mate - tiaki ngā mātua. Āta mataara hoki te tamaiti moe, kia rite ki te mahi o te taiāki huka ko te nuinga i roto i te po, a taea whanonga o te tamaiti korero te rota. A, no te moe te whakakitenga o te syndrome riro te reira femo'uekina me fakangalingali, tahi e te manawa ngangau. kia hamama te tamaiti tangi i roto i tona moe e tika ana ki ri'ari'ai ranei. Oho taimaha, i muri tonu puta reira whakama.

teie mau faaiteraa katoa - he tohu o te huru hypoglycemic. Katoa ra tonu te tamaiti i roto i te āhua momohe, he-feliliuaki ia, pukukino, e kore moni i roto i ngā kēmu akoranga ranei. kia tau'a puta ohorere, kahore take, i roto i te akoranga o te wātū. urutā toutou o fakaaoao roa ho'i i, he ohorere hīrere huru. E mea pinepine, mamae tamariki ki te syndrome i te korekore. kawea maimoatanga i roto i runga i te parau tumu taua rite taua o ngā pakeke. Endocrinology Center i te Academic, hei tauira, āwhina tamariki akakoromaki i te syndrome Somogyi.