Nthawi zina timamva kusasangalala ndi fungo lochokera mkamwa mwathu. Ndi zachilendo. Zingachitike mukadya zakudya zokometsera monga anyezi kapena adyo, kapena mukapanda kutsuka mano anu bwino. Komabe, ngati mpweya wanu ukununkhiza zipatso, monga chochotsera misomali , ndiye kuti si zachilendo. Izi zitha kukhala chizindikiro cha vuto lalikulu la thanzi. Ndicho chimene tikukamba lero.
Chifukwa chiyani mpweya wanga umanunkhiza ngati acetone?
Mwachidule, ngati mpweya wanu ukununkhiza chonchi, zikutanthauza kuti magazi anu ali ndi mankhwala otchedwa ketones ambiri. Musaope mawu oti "ketones." Tiyeni tisunge zinthu mophweka.
Maselo a thupi lathu amafunika mphamvu kuti agwire ntchito. Mphamvu imeneyi imachokera ku shuga wotchedwa shuga m'chakudya chomwe timadya. Ili ngati mafuta a galimoto. Komabe, ngati pazifukwa zina maselo athu sangathe kugwiritsa ntchito shuga uyu, thupi limapeza njira ina. Ndiyo kutentha mafuta omwe amasungidwa m'thupi kuti apange mphamvu .
Taganizirani ngati kuyesa kuyendetsa galimoto ndi chinthu chonga mafuta a palafini pamene mafuta atha. Galimotoyo imayenda, koma si yabwino pa injini ndipo imasuta. Mofananamo, thupi likatentha mafuta, ma acid otchedwa ma ketones amawonjezeredwa m'magazi ngati chinthu china. Pamene kuchuluka kwa ma ketones kumeneku kukukwera kwambiri, mpweya wanu umayamba kununkhiza ngati acetone kapena zipatso.
Kodi pali ubale wotani pakati pa shuga ndi mpweya wa acetone m'magazi?
Vutoli lotchedwa kupuma kwa acetone limagwirizana kwambiri ndi matenda a shuga, makamaka mwa anthu omwe ali ndi matenda a shuga amtundu woyamba .
Matenda a shuga ndi matenda omwe shuga m'magazi amakwera kuposa momwe amakhalira. Nthawi zambiri, mahomoni otchedwa insulin, omwe amapangidwa ndi kapamba wathu, amagwira ntchito ngati kiyi yomwe imatsegula chitseko kuti shuga alowe m'maselo athu. Mwa munthu wodwala matenda a shuga, thupi limapanga insulin yochepa kapena silipanga konse. Kapena, thupi silingagwiritse ntchito insulin yomwe limapanga bwino.
Ndiye, chimachitika ndi chiyani ngati mulibe insulin? Shuga sangalowe m'maselo. Amangodziunjikira m'magazi. Koma maselo alibe mphamvu. Monga kuphika kunyumba.Zili ngati chitseko cha kukhitchini chimatsekedwa chikadzaza, ndipo banja liyenera kukhala ndi njala.
Apa ndi pamene thupi limayamba kuwotcha mafuta kuti lipeze mphamvu, monga tafotokozera kale. Kenako kuchuluka kwa ma ketone m'magazi kumawonjezeka moopsa. Tikutcha vutoli Diabetic Ketoacidosis (DKA) . Imeneyi ndi ngozi yaikulu kwambiri yachipatala yomwe ingawopseze moyo.
Chimodzi mwa zizindikiro zazikulu komanso zoyambirira za DKA ndi mpweya wonunkhiza zipatso. Ichi ndi chimodzi mwa zizindikiro zoyambirira zomwe madokotala amafufuza akamaganiza kuti DKA ndi yoopsa.
Kodi zizindikiro zina za DKA ndi ziti?
Kuwonjezera pa mpweya wa acetone, palinso zizindikiro zina zingapo za DKA. Izi zimatha kuwoneka mwachangu kwambiri, nthawi zina mkati mwa maola 24. Zitha kukhala zina mwa zizindikiro zoyambirira zomwe munthu amene wangopezeka ndi matenda a shuga amakumana nazo.
| Chizindikiro | Kodi izi zikutanthauza chiyani? |
|---|---|
| Ludzu lalikulu komanso kukodza pafupipafupi | Thupi limayesetsa kutulutsa shuga wochuluka m'magazi kudzera mu impso zomwe zili mu mkodzo. Nthawi yomweyo, madzi ambiri amatulukanso m'thupi, zomwe zimapangitsa ludzu lalikulu. |
| Kusanza ndi kusanza | Kuchuluka kwa matupi a ketone m'magazi kungayambitse kusokonezeka kwa m'mimba, nseru, komanso kusanza. |
| Kutopa ndi kufooka | Thupi limamva kutopa kwambiri komanso kufooka chifukwa maselo salandira mphamvu (shuga) yomwe amafunikira. |
| Kuvuta kupuma | Pamene asidi m'magazi (chifukwa cha ma ketones) akuwonjezeka, thupi limayesetsa kulamulira mwa kupuma mofulumira komanso kutulutsa mpweya woipa wa carbon dioxide. |
| Chisokonezo | Matendawa amakhudza ntchito ya ubongo, zomwe zingayambitse kuchepa kwa tcheru ndi chisokonezo. |
| Kuchepetsa thupi mwadzidzidzi | Popeza thupi limawotcha mafuta kuti lipeze mphamvu, kuchepa thupi kumatha kuchitika mwachangu (makamaka kwa matenda a shuga amtundu woyamba omwe angopezeka kumene). |
Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?
Iyi ndi gawo lofunika kwambiri .
- Ngati muli ndi matenda a shuga ndipo mpweya wanu ukununkha ngati acetone, choyamba, tsatirani ndondomeko ya chithandizo yomwe dokotala wanu wakupatsani. Izi zikutanthauza kumwa jakisoni wa insulin ndi mankhwala panthawi yake.
- Ngati mukutsatira chithandizo molondola, koma kuchuluka kwa ketone m'magazi anu (komwe kumayesedwa ndi mipiringidzo yoyesera) kuli pakati kapena kokwera, imbani dokotala nthawi yomweyo.
- Ngakhale mutakhala kuti mulibe matenda a shuga, ngati muli ndi nkhawa ndi fungo la acetone lomwe limapitirira, onani dokotala.
DKA ndi vuto ladzidzidzi lachipatala. Ngati muli ndi chimodzi mwa zizindikiro zotsatirazi, pitani ku dipatimenti yadzidzidzi ya chipatala (ETU) nthawi yomweyo.
* Ngati muli ndi zizindikiro zoposa chimodzi mwa zizindikiro za DKA zomwe zatchulidwa pamwambapa.
* Ngati simungathe kulankhulana ndi dokotala wanu.
* Ngati shuga m'magazi mwanu nthawi zonse imakhala yokwera kuposa 300 mg/dL.
Chonde musatenge nkhaniyi mopepuka. Kulandira chithandizo mwachangu kungapulumutse moyo.
Kodi pali zifukwa zina zomwe zimapangitsa kuti mpweya ukhale ndi acetone kupatula matenda ashuga?
Inde. Ngakhale kuti matenda a shuga ndiye chifukwa chachikulu, vutoli likhozanso kuchitika chifukwa cha zifukwa zina zingapo.
| Chifukwa | Kufotokozera |
|---|---|
| Zakudya za Keto ndi Kusala Kudya | Zakudya za keto ndi zakudya zokhala ndi mafuta ambiri, mapuloteni apakati, komanso zakudya zopanda chakudya chambiri. Zimakakamiza thupi kutentha mafuta kuti lipeze mphamvu. Izi zimachitikanso mukasala kudya kwa nthawi yayitali. Izi zingayambitse kuchuluka kwa ketone m'magazi, zomwe zingayambitse fungo la zipatso m'mphuno mwanu. |
| Ketoacidosis ya Mowa | Ma ketone amathanso kukhala oopsa kwambiri m'magazi a anthu omwe amamwa mowa wambiri, osadya bwino, komanso osanza. Ichi ndi vuto lalikulu kwambiri. Zizindikiro monga kusanza ndi kupweteka m'mimba zimatha kusokonezedwa ndi matenda ena. Koma chithandizo chachangu n'chofunikira. |
Uthenga Wopita Nawo Kunyumba
- Ngati mpweya wanu ukununkha ngati chipatso kapena chochotsera misomali (acetone breath), musanyalanyaze ngati mpweya wabwinobwino.
- Ichi nthawi zambiri chimakhala chizindikiro champhamvu cha matenda a shuga otchedwa diabetesic ketoacidosis (DKA), vuto lalikulu la matenda a shuga.
- Ngati muli ndi matenda a shuga ndipo mpweya woipawu umabwera ndi zizindikiro zina monga ludzu lalikulu, kukodza pafupipafupi, kusanza, komanso kutopa kwambiri, pitani ku Dipatimenti Yothandiza Anthu Odwala Matenda Adzidzidzi (ETU) kuchipatala nthawi yomweyo.
- Kuwonjezera pa matenda a shuga, kudya zakudya za keto kapena kumwa mowa mopitirira muyeso kungakhalenso chifukwa, koma mosasamala kanthu za chifukwa chake, ndikofunikira kufunsa dokotala wanu kuti akupatseni upangiri .
- Chizindikiro ichi ndi uthenga wofunikira wochokera m'thupi lanu kapena la wokondedwa wanu. Mvetserani.
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