Ese uri umuntu urwaye diyabete? Cyangwa hari umuntu wo mu muryango wawe cyangwa inshuti yawe urwaye diyabete? Noneho ushobora kuba warumvise ijambo 'ketones'. Ariko se izi ketones ni iki? Kuki ari ingenzi cyane ku muntu urwaye diyabete? Reka tubiganireho uyu munsi mu buryo bworoshye ushobora kumva. Kumenya ibi neza bishobora kugufasha kurokora ubuzima bwawe.
Mu magambo make, ketones ni iki?
Ketones ni ubwoko bwa aside ikorwa n'umwijima wacu. Buri wese akora ketone nke mu mubiri we, yaba arwaye diyabete cyangwa adafite.
None se ibi bintu bibaho bite? Imibiri yacu ikoresha isukari, cyangwa isukari, nk'isoko yayo y'ibanze y'ingufu. Imisemburo yitwa insuline ni ingenzi mu guhindura iyi glucose mo ingufu. Ariko, iyo nta insuline ihagije mu mubiri, umubiri ntushobora gukoresha isukari nk'ingufu. Hanyuma umubiri ushakisha indi soko y'ingufu. Ni ibinure bibitswe mu mibiri yacu.
Iyo umubiri utangiye gutwika ibinure kugira ngo ubone ingufu, izi ketone zikorwa nk'umusaruro ukurikira. Iyi gahunda twita ketosis . Ibi akenshi si ikibazo ku muntu udafite diyabete. Ariko, ku muntu urwaye diyabete, cyane cyane iyo insuline igabanutse, izi ketone zishobora kwiyongera mu buryo butunguranye. Iyo urugero rwa ketone mu maraso rubaye hejuru cyane, bishobora gutera ikibazo gikomeye cyane, ndetse gishobora no kubangamira ubuzima cyitwa diyabete Ketoacidosis (DKA) .
Ni nde ukwiye gukora ikizamini cya ketone?
Niba urwaye diyabete, ni ngombwa cyane kumenya gupima ketone.
- Abantu barwaye Diyabete yo mu bwoko bwa 1: Aba bari mu kaga gakomeye. Muri diyabete yo mu bwoko bwa 1, ubudahangarwa bw'umubiri busenya uturemangingo dukora insuline mu ipanjisi. Iyo insuline idafite, urugero rw'isukari mu maraso n'urugero rwa ketone bishobora kwiyongera byoroshye.
- Abantu barwaye Diyabete yo mu bwoko bwa 2: Bashobora kandi kugira urugero rwa ketone ruri hejuru, ariko ntabwo ari ibisanzwe nko muri diyabete yo mu bwoko bwa 1.
- Abanywa inzoga nyinshi: Abantu banywa inzoga nyinshi buri munsi kandi ntibarye cyangwa ngo banywe neza bashobora kurwara indwara yitwa alcohol ketoacidosis . Iyi nayo ni ikibazo cyihutirwa gisaba kuvurwa vuba.
Ni ryari ugomba gupima ketones?
Niba urwaye diyabete, muganga wawe akunze kukugira inama yo kugenzura urugero rwa ketone mu mubiri wawe mu bihe bikurikira:
- Niba igipimo cy'isukari mu maraso yawe kiri hejuru ya 250 mg/dL mu gihe cy'iminsi ibiri yikurikiranya.
- Niba urwaye indwara nk'umuriro, ibicurane, cyangwa imvune.
- Niba uteganya gukora siporo kandi igipimo cy'isukari mu maraso yawe kiri hejuru ya 250 mg/dL icyo gihe.
- Niba udashobora guhabwa inshinge za insuline zanditswe na muganga.
- Niba utwite (cyane cyane niba urwaye diyabete yo mu gihe cyo gutwita).
- Niba warabazwe .
- Niba udashobora kurya ikintu icyo ari cyo cyose.
- Iyo ukoresheje ipompo ya insuline igahagarara gukora.
Ni ibihe bimenyetso by'uko urugero rwa ketone ruri hejuru mu mubiri rugaragara?
Niba ubonye ibimenyetso bikurikira, ni byiza guhita usuzuma ketone. Ibi bishobora kuba ibimenyetso bya DKA.
| Ibimenyetso bya mbere | Ibimenyetso by'indwara ikomeye |
|---|---|
| Inyota ikabije n'umunwa wumye | Umunaniro ukabije n'umunaniro ukabije |
| Kwihagarika cyane | Isesemi, kuruka, no kuribwa mu nda |
| Umwuka uhumura neza imbuto | Guhumeka bigoranye |
| Umutwe | Umutuku w'uruhu |
| Uruhu rwumye | Urujijo (indwara yo mu mutwe) |
Igikuru ni ukureba urugero rw'imitsi ya ketone buri masaha 4-6 niba isukari mu maraso yawe iri hejuru cyangwa wumva urwaye.
Ni gute ugenzura urugero rwa ketone?
Hari uburyo bubiri bw'ingenzi bwo gupima urugero rwa ketone mu mubiri wawe, byombi ushobora kubikorera mu rugo.
1. Isuzuma ry'inkari
Ubu buryo ni bwo busanzwe kandi buhendutse cyane. Ushobora kugura udupapuro two gupima kuri farumasi.
- Fata inkari nke uzishyire mu gikombe gisukuye.
- Shyiramo agace k'igerageza.
- Kangura agace gato hanyuma utegereze igihe cyagenwe mu mabwiriza kugeza igihe gihinduriye ibara.
- Gereranya ibara ry'umurongo n'imbonerahamwe y'amabara wakiriye kugira ngo umenye urugero rwa ketone yawe.
2. Gupima amaraso
Ubu buryo ni bwiza kurusha gupima inkari. Hari ibipimo bimwe na bimwe by'isukari mu maraso bifite ubushobozi bwo gupima ketone.
- Karaba kandi wumishe intoki zawe neza.
- Shyiramo agace k'ikizamini cya ketone mu gipimo.
- Kora urutoki rwawe hanyuma ushyire igitonyanga cy'amaraso ku gapapuro k'ikizamini.
- Soma ibisubizo bigaragara kuri metero.
Gupima amaraso biguha urugero rwa ketone mu maraso yawe muri ako kanya, bityo bikaba ari ukuri kurushaho. Ariko uduce tw'ibizamini turahenze cyane. Baza muganga wawe uburyo bukubereye.
Ibisubizo by'ibizamini byanjye bivuze iki?
Ni ingenzi cyane gusobanukirwa ibisubizo byawe.
| Ubwoko bw'ikizamini | Ibisubizo | Icyo gukora |
|---|---|---|
| Isuzuma ry'inkari | ||
| Inkari | Nta ketones (Negative) | Ibisanzwe. |
| Inyuguti / Ntoya | Ketones zitangiye kwirema. Nywa amazi menshi. Ongera urebe mu masaha make. | |
| Iringaniye | Hamagara muganga wawe ako kanya. | |
| Hejuru/Kinini | Iki ni ikibazo cyihutirwa! Jya ku bitaro bikuru byita ku barwayi ba ETU (ETU) byihutirwa. | |
| Isuzuma ry'amaraso | ||
| Amaraso | Munsi ya 0.6 mmol/L | Ibisanzwe. |
| 0.6 - 1.5 mmol/L | Birenze urugero. Kurikiza amabwiriza ya muganga wawe. Ongera urebe. | |
| 1.6 - 2.9 mmol/L | Hari ibyago byo kurwara DKA. Hamagara muganga wawe ako kanya. | |
| Hejuru ya 3.0 mmol/L | Ingaruka mbi cyane. Jya ku bitaro bikuru byita ku barwayi ba ETU (ETU) byihutirwa. | |
Ni gute wagabanya urugero rwa ketone mu mubiri?
Niba urugero rwa ketone mu mubiri wawe ruri hejuru gato, hari ibintu bike ushobora gukora. Ariko ibuka ko icy'ingenzi ari ugukurikiza gahunda muganga yaguhaye.
- Nywa amazi menshi: Ibi bifasha gusohora ketone mu mubiri.
- Suzuma isukari mu maraso kenshi: Suzuma buri masaha 3-4.
- Ntugakore siporo: Niba isukari mu maraso yawe na ketones biri hejuru, siporo ishobora gutuma ikibazo kirushaho gukomera.
- Shaka inama kwa muganga wawe: Baza muganga wawe ingano ya insuline ikenewe n'ibiribwa ugomba kurya kugira ngo uvure urugero rwa ketone ruri hejuru.
Ubutumwa bwo kujyana mu rugo
- Ketones ni ikimenyetso cy'ingenzi cy'umuburo ku bantu barwaye diyabete, cyane cyane diyabete yo mu bwoko bwa mbere.
- Ingano nyinshi cyane ya ketone mu maraso ishobora gutera ikibazo gikomeye cyiswe DKA (Diabetic Ketoacidosis) .
- Gerageza ketones igihe cyose urugero rw'isukari mu maraso yawe ruri hejuru ya 250 mg / dL, igihe ufite indwara, cyangwa igihe cyose muganga wawe akugira inama.
- Itondere ibimenyetso nk'impumuro y'imbuto ku mwuka, inyota ikabije, no kujijinganya.
- Niba urugero rwa ketone mu mubiri wawe ruri ku rugero ruri hagati cyangwa ruri hejuru , ntutinde kandi uhamagare muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU).
- Buri gihe ganira na muganga wawe ku buryo bwo gucunga urugero rw'amaraso ya ketone mu mubiri wawe no gushyiraho gahunda isobanutse neza.
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