Uri munhu ane chirwere cheshuga here? Kana kuti mumwe munhu mumhuri yako kana shamwari yako ane chirwere cheshuga here? Saka pamwe wakambonzwa izwi rekuti 'ketones'. Asi ma ketone aya chii? Sei achikosha kudaro kune munhu ane chirwere cheshuga? Ngatitaurei nezvazvo nhasi nenzira iri nyore yaunogona kunzwisisa. Kuziva izvi nemazvo kunogona kubatsira kuponesa hupenyu hwako.
Zvichitaurwa zviri nyore, chii chinonzi ketones?
Maketone rudzi rweasidhi inogadzirwa nechiropa chedu. Munhu wese anogadzira maketone mashoma mumuviri wake, angave ane chirwere cheshuga kana kuti kwete.
Saka zvinhu izvi zvinoitika sei? Miviri yedu inoshandisa shuga, kana kuti glucose, senzvimbo yayo huru yesimba. Homoni inonzi insulin inokosha pakushandura glucose iyi kuita simba. Zvisinei, kana pasina insulin yakakwana mumuviri, muviri haugone kushandisa glucose sesimba. Muviri unobva watsvaga imwe nzvimbo yesimba. Ndiwo mafuta akachengetwa mumiviri yedu.
Kana muviri watanga kupisa mafuta kuti uwane simba, ma ketone aya anogadzirwa semugumisiro. Tinodana maitiro aya kuti ketosis . Izvi hazviwanzo kuva dambudziko kune munhu asina chirwere cheshuga. Zvisinei, kune munhu ane chirwere cheshuga, kunyanya kana insulin control ikarasikirwa, ma ketone aya anogona kukwira zvisingadzoreki. Kana huwandu hwema ketone muropa hukakwira zvine njodzi, zvinogona kutungamira kune emergency yakakomba, inotouraya inonzi Diabetic Ketoacidosis (DKA) .
Ndiani anofanira kuongororwa ketone?
Kana uine chirwere cheshuga, zvakakosha kuti uzive nezve ketone testing.
- Vanhu vane chirwere cheshuga cherudzi rwekutanga: Ava ndivo vari panjodzi huru. Muchirwere cheshuga cherudzi rwekutanga, masoja emuviri anoparadza masero anogadzira insulin mupancreas. Pasina insulin, huwandu hweshuga muropa uye huwandu hweketone zvinogona kukwira zviri nyore.
- Vanhu vane chirwere cheshuga cherudzi rwechipiri: Vanogonawo kuva nemazinga e ketone akakwira, asi hazviwanzoitiki sezvakaita chirwere cheshuga cherudzi rwekutanga.
- Vanonwa doro zvakanyanya: Vanhu vanonwa doro zvakanyanya zuva nezuva vasingadyi kana kunwa zvakanaka vanogona kuva nechirwere chinonzi alcohol ketoacidosis . Ichi chirwere chinodawo kurapwa nekukurumidza.
Unofanira kuyedza ma ketone riini?
Kana uine chirwere cheshuga, chiremba wako anowanzo kukukurudzira kuti utarise huwandu hwe ketones mumuviri wako panguva dzinotevera:
- Kana huwandu hweshuga muropa rako hwakakwirira kupfuura 250 mg/dL kwemazuva maviri akatevedzana.
- Kana ukatanga chirwere chakadai sefivha, dzihwa, kana kukuvara.
- Kana uri kuronga kuita maekisesaizi uye huwandu hweshuga muropa rako huri pamusoro pe250 mg/dL panguva iyoyo.
- Kana usingakwanise kubayiwa jekiseni re insulin rakanyorerwa.
- Kana uine pamuviri (kunyanya kana uine chirwere cheshuga chepamuviri).
- Kana wakambovhiyiwa .
- Kana usingakwanise kudya chero chinhu.
- Kana ukashandisa pombi ye insulin uye ikarega kushanda.
Ndezvipi zviratidzo zvekuwedzera kwemazinga e ketone mumuviri?
Kana ukaona zviratidzo zvinotevera, kuchenjera kuti uedze ketone test nekukasika. Izvi zvinogona kunge zviri zviratidzo zvekutanga zveDKA.
| Zviratidzo zvepakutanga | Zviratidzo zvechirwere chakakomba |
|---|---|
| Nyota yakawandisa uye muromo wakaoma | Kuneta kwakanyanya uye kuneta |
| Kuita weti kakawanda | Kusvotwa, kurutsa, uye kurwadziwa mudumbu |
| Mweya unonhuhwirira muchero | Kuoma kufema |
| Musoro | Kutsvuka kweganda |
| Ganda rakaoma | Kuvhiringidzika (kusagadzikana kwepfungwa) |
Chinhu chinonyanya kukosha ndechekutarisa huwandu hweketones mumuviri wako maawa mana kusvika matanhatu ega ega kana huwandu hweshuga muropa rako hwakakwira kana kuti uchinzwa kurwara.
Ungaongorora sei mazinga e ketone mumuviri?
Kune nzira mbiri huru dzekuongorora huwandu hweketone mumuviri wako, dzese dzaunogona kuita kumba.
1. Kuedzwa kweWeti
Iyi ndiyo nzira inonyanya kushandiswa uye yakachipa. Unogona kutenga test strips dzekushandisa pamishonga.
- Isa weti mukapu yakachena.
- Nyika tambo yekuyedza mairi.
- Zunza chidimbu chacho zvishoma womirira nguva yakatarwa mumirairo kusvika chachinja ruvara.
- Enzanisa ruvara rwemutsara nechati yemavara yawakagamuchira kuti uzive huwandu hweketone yako.
2. Kuongororwa kweRopa
Nzira iyi yakarurama kupfuura yekuongorora weti. Mamwe ma glucometer eropa anewo kugona kwekuongorora ma ketones.
- Shamba woomesa maoko ako zvakanaka.
- Isa ketone test strip mu meter.
- Baya chigunwe chako woisa donhwe reropa pamutsetse wekuyedza.
- Verenga mhinduro yakaratidzwa pamita.
Kuongororwa ropa kunopa huwandu hwemaketone muropa rako panguva iyoyo, saka zvinonyatsojeka. Asi mitsetse yekuyedza inodhura zvikuru. Bvunza chiremba wako kuti ndeipi nzira yakakunakira.
Zvinorevei zvabuda muongororo yangu?
Zvakakosha zvikuru kunzwisisa zvabuda.
| Rudzi rwekuyedza | Mhedzisiro | Zvekuita |
|---|---|---|
| Kuedzwa kweWeti | ||
| Weti | Hapana ma ketones (Negative) | Zvakajairika. |
| Kurongeka / Diki | Maketoni ari kutanga kuumbwa. Inwa mvura yakawanda. Tarisa zvakare mushure memaawa mashoma. | |
| Zviri pakati nepakati | Fonera chiremba wako nekukasika. | |
| Yakakwirira/Hombe | Iyi idambudziko! Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. | |
| Kuongororwa kweRopa | ||
| Ropa | Zvisingasviki 0.6 mmol/L | Zvakajairika. |
| 0.6 - 1.5 mmol/L | Zvakawandisa zvishoma. Tevedzera mirairo yachiremba wako. Tarisa zvakare. | |
| 1.6 - 2.9 mmol/L | Pane njodzi yeDKA. Fonera chiremba wako nekukasika. | |
| Pamusoro pe3.0 mmol/L | Panjodzi huru kwazvo. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. | |
Nzira yekuderedza huwandu hwe ketone mumuviri?
Kana huwandu hwe ketone mumuviri wako hwakakwira zvishoma, pane zvinhu zvishoma zvaunogona kuita. Asi yeuka, chinhu chakakosha ndechekutevedzera chirongwa chawakapihwa nachiremba wako.
- Inwa mvura yakawanda: Izvi zvinobatsira kubvisa ma ketone mumuviri.
- Tarisa shuga muropa nguva nenguva: Tarisa maawa matatu kusvika mana ega ega.
- Usaite maekisesaizi: Kana shuga yeropa rako nemaketones akakwira, kurovedza muviri kunogona kuita kuti mamiriro acho ezvinhu awedzere kuipa.
- Tsvaga mazano kubva kuna chiremba wako: Bvunza chiremba wako nezvehuwandu hwe insulin hunodiwa uye chikafu chaunofanira kudya kuti ubvise ketone yakawanda mumuviri.
Mharidzo Yekuenda Nayo Kumba
- Maketoni chiratidzo chakakosha chenyevero kuvanhu vane chirwere cheshuga, kunyanya chirwere cheshuga cherudzi rwekutanga.
- Maketone akawanda muropa anogona kukonzera emergency inouraya inonzi DKA (Diabetic Ketoacidosis) .
- Edzai ma ketones chero bedzi shuga yenyu yeropa iri pamusoro pe250 mg/dL, kana muine chirwere, kana chero nguva chiremba wenyu paanokuudzai.
- Chenjerera zviratidzo zvakaita sekunhuwa kwemuchero pakufema, nyota yakawandisa, uye kuvhiringidzika.
- Kana huwandu hwe ketone mumuviri wako huri pakati nepakati kana kuti hwakakwira , usanonoka wofonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Gara uchitaura nachiremba wako nezvekuti ungagadzirisa sei huwandu hweketone mumuviri wako uye kugadzira hurongwa hwakajeka.
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