Ese ufite ketone mu nkari zawe? Reka tubiganireho!

Ushobora kugira impungenge gato iyo wumvise ko ufite ketone mu nkari zawe, si byo se? Ariko ntugahangayike. Reka tubiganireho mu buryo bworoshye kandi busobanutse. Izi ketone ni iki? Kuki ziri mu nkari zacu? Reka tubisobanukirwe birambuye uyu munsi.

Izi ketones mu nkari ni izihe?

Muri make, ketone ni umusaruro w'umubiri wawe udashobora gukoresha isukari, isukari, umubiri wawe ukoresha kugira ngo utange ingufu. Ni nko gutwika inkwi mu ziko ricanwa n'inkwi, ugasiga ivu. Izi ketone zikorwa iyo imibiri yacu ivungagura ibinure kugira ngo igire ingufu. Mu by'ukuri ni ubwoko bwa aside. Kimwe n'ibindi binyabutabire mu mibiri yacu, ketone amaherezo zisohoka mu mibiri yacu mu nkari zacu. Ariko rimwe na rimwe zishobora no kuboneka mu maraso yacu. Kugira ketone mu nkari zawe bizwi mu buvuzi nka 'ketonuria.'

Noneho tekereza kuri ibi, ni ibisanzwe kugira ketone mu nkari zawe, ni ukuvuga ingano nto . Nta kintu cyo guhangayika. Kuko rimwe na rimwe imibiri yacu igomba gukoresha ibinure kugira ngo itange imbaraga. Urugero, iyo dusinziriye, niba twiyirije umunsi umwe, cyangwa niba turi ku ndyo irimo karubohidrati nke, ni ukuvuga "Keto Diet" abantu benshi bavugaho.

Ariko, iyo ingano ya ketones yiyongera, ni akaga . Kubera ko aside mu maraso yacu yiyongera. Iyi ndwara tuyita `Ketoacidosis`. Ibi ni ukuri cyane cyane ku bantu barwaye diyabete, ari nayo mpamvu yitwa `Diabetes-related Ketoacidosis (DKA)`. Iyi ndwara yitwa DKA ni ikibazo cyihutirwa cy’ubuvuzi gishobora gushyira ubuzima mu kaga , bityo niba ubikeka, ni ngombwa kwihutira gushaka ubuvuzi.

Ni gute upima ketone mu nkari?

None se, twamenya dute niba hari ketone muri izi nkari, kandi niba ari byo, ni zingana iki? Hari uburyo bubiri bw'ingenzi bwo kubikora.

Ibizamini byo mu rugo

Ushobora kugura utu duce tw’ibizamini bya ketone muri farumasi cyangwa kuri interineti. Tuboneka ku giciro cya muganga (OTC), bivuze ko tudakeneye ko muganga aguha imiti. Icyo ugomba gukora ni ugukusanya inkari zawe mu gikoresho gisukuye, ukazishyiramo agace, ukazisiga mu gihe cyagenwe n’uwakoze (ubusanzwe amasegonda make), hanyuma ukagakuramo. Agace kazahindura ibara. Agace kaza n’imbonerahamwe y’amabara. Ugomba kugereranya ibara ry’agace kawe n’imbonerahamwe y’amabara. Akenshi kerekana urugero rwa ketone yawe nka 'negative', 'trace', 'nto', 'medium', cyangwa 'nini'. Utu duce dukunze gukoreshwa n’abantu barwaye diyabete n’abari kuri 'Keto Diet'.

Ibizamini by'ubuvuzi

Hari igihe umuganga wawe cyangwa umuforomo wawe ashobora kugenzura urugero rwa ketone yawe akoresheje ikizamini cy’inkari, cyitwa urinalysis. Ariko niba ufite ibimenyetso bya ketoacidosis, muganga wawe ashobora gutegeka ko hakorwa ikizamini cya ketone mu maraso . Iki kizamini cy’amaraso ni cyo cy’ukuri kurusha ikizamini cy’inkari. Kinagaragaza ingano nyayo ya ketone mu mubiri wawe muri icyo gihe. Ikizamini cy’amaraso gikunze gutanga umubare nyawo aho gutanga intera.

Dore ikindi kintu ugomba gusobanukirwa. Bifata igihe kugira ngo umubiri wacu utange inkari. Bityo rero, ikizamini cy'inkari ntikizaguha igipimo nyacyo cy'urugero rwa ketone yawe ako kanya. Ariko, gishobora kuguha igitekerezo cy'uko urugero rwa ketone rwawe rwari rumeze mu masaha make ashize.

Kuki ketone zigaragara mu nkari zacu?

Noneho reka turebe impamvu izi ketone zigaragara mu nkari zacu. Umubiri ukunda cyane gukoresha 'glucose' cyangwa isukari kugira ngo utange ingufu kuri buri selile mu mubiri wacu. Iyi glucose tuyikura muri karubohidrati turya, ni ukuvuga ibiryo birimo ibinyampeke. Ariko, mu bihe bimwe na bimwe, umubiri wacu uhatirwa gutwika ibinure (rimwe na rimwe ndetse n'imitsi) kugira ngo ubone imbaraga.

Iyo udafite karubohidrati zihagije , cyangwa niba udafite imisemburo ya insuline ihagije, ifasha umubiri wawe gukoresha isukari , umubiri wawe ujya mu mimerere yitwa ketosis. Muri iyi mimerere ya ketosis, umubiri utwika ibinure kugira ngo ubone ingufu, maze ketone zigasohoka nk'ibikomoka kuri iyo miterere. Amaherezo zisohoka mu nkari.

Iyo ketones zibayeho mu buryo busanzwe

Ndetse n'ibintu byoroheje nko gusinzira cyangwa kwiyiriza ubusa umunsi umwe cyangwa ibiri bishobora gutuma umubiri winjira mu mimerere ya "ketosis" bigatuma habaho uduce duto twa ketone mu nkari. Ibi bishobora gufatwa nk'ibisanzwe kandi bifite ubuzima bwiza.

Mu buryo nk'ubwo, ketosis ibaho iyo ukurikije 'indyo ya Ketogenic' cyangwa 'indyo ya Keto' nk'uko izwi cyane muri benshi. Iyi ndyo ya keto igizwe ahanini n'ibinure byinshi, poroteyine iri hagati, kandi ikaba nke cyane muri karubohidrati. Mu by'ukuri, indyo isanzwe ya keto ni ibinure biri hagati ya 70% - 80%, poroteyine 20%, na karubohidrati 5% - 10%. Ketones zikunze kugaragara mu nkari z'abantu bakurikiza indyo ya keto cyane.

Impamvu zitera urugero rudasanzwe rwa ketone mu nkari

Ariko niba ufite ingano nto, iri hagati, cyangwa nini ya ketone mu nkari zawe, bishobora kuba bidasanzwe . Hari impamvu nyinshi zibitera:

• Diyabete:Twese dukeneye imisemburo yitwa `Insulin` kugira ngo tubeho kandi dukoreshe glucose kugira ngo tubone ingufu. Niba urwaye diyabete, umubiri wawe ntukora insuline na gato, ntuyikore neza, cyangwa ntushobora kuyikoresha neza. Ibi bituma glucose yiyongera mu maraso, bigatuma isukari yo mu maraso iba nyinshi. Muri icyo gihe, iyo insuline idafite, umubiri ushobora gukoresha ibinure gusa kugira ngo utange ingufu. Iyo ibura rya insuline rikomeje, ketones ziyongera mu mubiri. Ibi bishobora gutera indwara ishobora gushyira ubuzima mu kaga yitwa `diabete ketoacidosis (DKA)` yavuzwe haruguru.

Tekereza gato, niba umuntu urwaye diyabete adafashe imiti ye neza kandi ntatere insuline, isukari mu maraso ye ishobora kugabanuka mu minsi mike, bigatera akaga nk'aka. Kubwibyo, abantu barwaye diyabete bagomba kwitonda cyane kuri ibi.

• Indwara yo gukoresha inzoga: Iyo unyoye inzoga nyinshi igihe kirekire, bishobora kugira ingaruka ku buryo umubiri wawe winjiza intungamubiri nka karubohidrati kandi bikabika isukari mu mwijima (nka glycogen). Ibi bituma umubiri wawe utwika ibinure, bishobora gutera indwara yitwa ketoacidosis iterwa n'inzoga. Kimwe na DKA, iyi ishobora kuba indwara ishobora gushyira ubuzima mu kaga.

• Gutwita: Impamvu nyamukuru itera ketones mu nkari mu gihe cyo gutwita ni "Diyabete yo mu gihe cyo gutwita." Ariko, izindi mpamvu zose ziri kuri uru rutonde zishobora gutera ketones mu gihe cyo gutwita.

• Kuruka cyangwa impiswi igihe kirekire: Niba umaze igihe kinini uruka cyangwa urwaye impiswi, umubiri wawe ushobora kubura glucose yo gukoresha imbaraga kandi hashobora kugaragara ketone mu nkari zawe. Tekereza umwana muto ubabara mu nda iminsi myinshi kandi ahora aruka kandi ntarye. Ibi nibyo bishobora kubaho.

• Indwara zo kurya no kwiyicisha inzara: Amwe mu marwariro, nko kwiyicisha inzara, no kwiyiriza ubusa igihe kirekire bishobora kugabanya ingano y'ibinyasukari na glucose umubiri wawe ushobora kwinjiza. Ibi bishobora kandi gutuma ketone zigaragara mu nkari zawe.

• Imyitozo ngororamubiri myinshi kandi ikora cyane: Iyo ukora imyitozo ngororamubiri igihe kirekire kandi cyane, niba isukari yose yabitswe mu mubiri wawe (glycogen) ikoreshejwe kugira ngo itange ingufu, umubiri wawe uzatangira gutwika ibinure. Ibi bishobora no gutuma ketone zigaragara mu nkari zawe.

Ese umuntu udafite diyabete ashobora kugira ketone mu nkari ze?

Yego, ushobora kugira 'trace' cyangwa 'dot' ya ketones mu nkari zawe nubwo waba udafite diyabete.Hari igihe bishobora kuba ibisanzwe, cyane cyane niba uri kwiyiriza ubusa cyangwa ukurikiza indyo ya keto. Ariko, ntibisanzwe ko umuntu udafite diyabete agira ketone 'ziri hagati' cyangwa 'zinini' mu nkari ze. Ibi nibibaho, hamagara Ishami rishinzwe Ambulance rya Suwaseriya ryo mu 1990 muri Sri Lanka ako kanya, cyangwa uhamagare nimero y'ubutabazi mu gace utuyemo , cyangwa ujye mu cyumba cy'ubutabazi kiri hafi yawe. Ushobora kuba ufite diyabete itaramenyekana cyangwa indi ndwara ikomeye.

Ni iyihe miterere isanzwe kandi iteje akaga ya ketone mu nkari?

Urugero rusanzwe rwa ketone ni iki?

Bifatwa nk'ibisanzwe kandi nta kibazo kirimo ku bantu benshi bafite ubuzima bwiza kugira "ketones" cyangwa "dot" nkeya mu nkari zabo.

Ariko, niba urwaye diyabete cyangwa indi ndwara igushyira mu kaga ko kurwara ketoacidosis, ndetse n'uru rugero rushobora kuba ikimenyetso cy'umuburo . Urugero, niba urugero rw'isukari mu maraso yawe ruri hejuru ya 250 mg/dL (isukari nyinshi mu maraso), ni ngombwa gukurikirana neza urugero rw'isukari mu maraso yawe no gukomeza gupima inkari zawe kugira ngo urebe niba urugero rw'amaraso ya ketone ruriyongera.

Ni iki gipimo cy’uturemangingo tw’umubiri (ketone) giteje akaga ku muntu urwaye diyabete?

Urugero urwo arirwo rwose rwa ketone ruri hejuru ya 'small' cyangwa 'trace' rushobora guteza akaga, cyane cyane niba uri mu kaga ko kurwara 'ketoacidosis' (urugero: diyabete).

• Iyo ufite ketone nke mu nkari zawe, byongera ibyago byo kurwara ketoacidosis. Niba urwaye diyabete, vugana na muganga wawe wa diyabete cyangwa umuganga w’ubuzima ku buryo bwo kwifata.
• Niba ufite ketone iri hagati cyangwa nyinshi mu nkari zawe, uba ufite ibyago byinshi byo kurwara ketoacidosis. Ibi ni ibintu byihutirwa, bityo shaka ubufasha bwihuse mu bitaro biri hafi yawe.

Bisobanura iki kugira 'trace' ketones mu nkari?

Urugero rw'uturemangingo tw'amaraso mu nkari muri rusange ni urwego rwiza kandi rufite umutekano ku bantu badafite diyabete. Abantu benshi bashobora kugira uturemangingo duke mu nkari zabo, cyane cyane mu gitondo.

Ese kuba hari ketone mu nkari bishobora gutera ibimenyetso?

Yego, niba ufite ketone mu nkari zawe, ushobora kugira ibindi bimenyetso bitewe n'ingano ya ketone.

Ibimenyetso bya Ketosis

Imiterere ya "Ketosis," ni ukuvuga iyo hari ketone nke mu nkari (urugero, iyo uri mu indyo ya keto), ishobora gutera ibimenyetso nk'ibi kuri bamwe:

• Kumva umeze nk'ufite ikibazo mu nda, isesemi
• Umutwe
• Umunaniro
• Igihu cy'ubwonko, kugorwa no kwibanda ku kintu runaka
• Impumuro yihariye iva mu kanwa ('keto breath')
• Impatwe
• Gusinzira nabi

Ibimenyetso bya Ketoacidosis

Urugero ruri hagati cyangwa ruri hejuru rw'uturemangingo tw'amaraso mu nkari zawe bivuze ko ushobora kugira indwara yitwa 'ketoacidosis' - izwi kandi nka 'DKA' cyangwa 'alcoholic ketoacidosis'. Ibi ni bibi cyane.

Ibimenyetso bya mbere bya DKA bishobora kuba birimo:

• Kwihagarika cyane
• Inyota ikabije, umunwa wumye (polydipsia)
• Inzara ikabije (polyphagie)
• Kubura amazi mu mubiri
• Umutwe

Ibimenyetso bikomeye bya DKA na ketoacidosis iterwa n'inzoga bishobora kuba birimo:

• Isesemi no kuruka
• Ububabare bukomeye mu gifu
• Impiswi
• Guhumeka nabi cyangwa guhumeka ku buryo bworoshye (Kussmaul)
• Umwuka uhumura imbuto (impumuro ya acetone)
• Kumva unaniwe cyane cyangwa ufite intege nke
• Kugabanuka k'ubwenge, guhungabana, cyangwa urujijo (imiterere y'imitekerereze yahindutse)
• Kugabanuka k'ubushobozi bwo kuguma maso, gusinzira

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, fata nk'ikibazo cyihutirwa cy'ubuvuzi kandi ushake ubuvuzi bwihuse, kuko bishobora gushyira ubuzima mu kaga!

Ibintu by'ingenzi ugomba kwibuka

Ketones, mu rugero ruto, zishobora kuba igice cy'imikorere isanzwe mu mibiri yacu. Ariko , iyo ketones zikusanyije ku rugero runini mu mubiri, zishobora kuba indwara ikomeye ishobora gushyira ubuzima mu kaga. Cyane cyane niba uri mu kaga ko kurwara `ketoacidosis`, ni ukuvuga niba ufite indwara nka diyabete, ganira na muganga wawe uburyo bwo kuyifata neza. Nanone, kuganira ku cyo wakora niba urugero rwa ketone rwawe ruri hejuru cyane, no kugira gahunda nziza, bizagufasha kwirinda akaga. Ni ngombwa cyane guhora witaye ku mubiri wawe, ubuzima bwawe, kandi ukaba maso, urabyumva?

Ketones , ketones mu nkari, ketoacidosis, DKA, diyabete, indyo ya keto, isuzuma ry'inkari