Zithini ii-ketones? Ngaba ziyingozi ukuba ziyanda emzimbeni wakho?

Ngaba wakha weva ngee-ketones? Mhlawumbi kugqirha, okanye kumhlobo, okanye ukuba ungumntu oneDiabetes Mellitus, kufuneka ukuba uyazi oku. Namhlanje, siza kuthetha ngokuba zezi ketones ziyintoni kanye kanye, ngaba zilungile okanye azilunganga emizimbeni yethu, kwaye kwenzeka ntoni ukuba ziyanda, ngendlela elula onokuyiqonda. Akukho nto yokoyika, masiqonde yonke into ngokucacileyo.

Zithini kanye kanye ii-ketones?

Ngamafutshane, ii-ketones luhlobo lwe-asidi eveliswa ngumzimba wakho. Ziveliswa xa umzimba wakho usebenzisa amafutha endaweni ye-glucose ukuze ufumane amandla. Cinga ngayo, imizimba yethu ifuna amandla ukuze isebenze. La mandla avela kakhulu kwi-glucose. I-glucose luhlobo lweswekile. Imizimba yethu ifumana le glucose ekutyeni esikutyayo okuqulethe ii-carbohydrates, umzekelo, irayisi, isonka, kunye neetapile.

Ngoku, ukuba ngesizathu esithile umzimba wakho awukwazi ukufumana iglucose eyaneleyo yamandla, wenza ntoni? Iya kukhetho lwesibini. Oko kukuthi, itshisa amafutha agcinwe emzimbeni ukuze ivelise amandla. Xa utshisa amafutha ngolu hlobo, imizimba ye-ketone iveliswa njengemveliso engasemva. Ezi ketones ziqokelelana egazini, zihamba emzimbeni wonke, kwaye zinike amandla kwiithishu ezahlukeneyo. Emva koko, iiketones eziseleyo zikhutshwa kumchamo wakho.

Ngokwesiqhelo, ukuba nee-ketones egazini lakho akuyongxaki, kwaye akuyongozi. Oku kungenxa yokuba kuqhelekile ukuba imizimba yethu isebenzise amafutha ukuze ifumane amandla xa kufuneka.

Nangona kunjalo, ukuba inani lee-ketones liyanda kakhulu, linokuba yingozi. Igazi lakho liba ne-asidi kwaye libe yityhefu. Le meko ibizwa ngokuba yi-ketoacidosis. Ukuba unesifo seswekile, unokufumana imeko ebizwa ngokuba yi-Diabetic Ketoacidosis (DKA), ebangelwa kukwanda kwee-ketones. Oku kunokuba yingozi ebomini ukuba akuphathwanga ngokufanelekileyo. Ngoko ke kubaluleke kakhulu ukuqaphela oku.

Yintoni kanye kanye eyenziwa zii-ketones emizimbeni yethu?

Njengoko bekutshiwo ngaphambili, ii-ketones luhlobo lwamandla olunika amandla engqondweni nasemzimbeni xa umthombo oyintloko wamandla emzimbeni wethu, i-glucose, ungafumaneki, uphantsi, okanye ungafumaneki. Cinga ngee-ketones njengombane "wokuxhasa amandla" omzimba wakho. Ziqala ukusebenza xa umgca ophambili unqunyulwa.

Ngokwesiqhelo, i-glucose yenziwa kukutya esikutyayo, kwaye ngoncedo lwe-hormone i-insulin, ingena kwiiseli kwaye ivelise amandla, okanye igcinwe ukuze isetyenziswe kamva.

Nangona kunjalo, ukuba awutyi iicarbohydrate ezaneleyo, umzimba wakho ungena kwimeko ebizwa ngokuba yi-ketosis. Kule meko, umzimba utshisa amafutha ukuze ufumane amandla, kwaye ii-ketone ziyakhutshwa. Ezi ketone zibonelela ngamandla kwiiseli kunye nezicubu kwaye zinceda umzimba usebenze. I-Ketosis yinkqubo eqhelekileyo. Umzekelo:

• Ngelixa ulele.
• Xa uzila ukutya.
• Xa uzilolonga.
• Xa utya i-keto diet.

Makhe sithethe kancinci ngeKeto Diet.

Abantu abatya i-keto diet ngabom banciphisa iicarbohydrates zabo baze batye ukutya okunamafutha amaninzi. Oku kubangela ukuba imizimba yabo itshise amafutha amaninzi. Kunokubakho iingenelo zempilo zokufumana i-ketosis ngale ndlela, kodwa iya kwahluka ngokuxhomekeke kwimeko yakho yempilo. Ke ngoko, ngokuqinisekileyo kufuneka uthethe nogqirha ngaphambi kokuba uqale ukutya okunjalo. Ngenxa yokuba kubangela utshintsho olukhulu emzimbeni, akufanelekanga kuwo wonke umntu. Kwakhona, ukutya kwe-keto kukutya okunemida kakhulu, ngoko ke kunokuba nzima ukukulandela ixesha elide.

Ziveliswa phi ii-ketones?

I-Ketosis yinkqubo eyenzeka esibindini sakho. Isibindi senza ii-ketones size sizikhuphele egazini. Ezi ketones zihamba ngegazi ukuze zinike amandla emzimbeni wonke. Xa zigqityiwe, zikhutshwa emchameni.

Ziziphi iimeko zonyango ezinokunxulunyaniswa nee-ketones?

Ukuqonda ii-ketones kunye nokujonga amanqanaba akho e-ketone kubaluleke kakhulu ukuba unesifo seswekile, ingakumbi isifo seswekile sohlobo loku-1. Isifo seswekile sohlobo loku-1 yimeko apho umzimba wakho ungakwazi ukuvelisa i-insulin, i-hormone enceda umzimba wakho usebenzise i-glucose ukuze ufumane amandla.

Xa kukho iingxaki nge-insulin, amanqanaba eswekile egazini lakho anokuba phezulu kakhulu (i-hyperglycemia), kwaye ii-ketones zinokuqokelelana egazini lakho. Yiyo le nto ibangela i-diabetes ketoacidosis (DKA). I-DKA ixhaphake kakhulu kubantu abanesifo seswekile sohlobo loku-1, kodwa inokwenzeka nakubantu abanesifo seswekile sohlobo lwesibini.

Ukongeza, abantu abanengxaki yokusebenzisa utywala basengozini yokuba nesifo esibizwa ngokuba yi-alcohol ketoacidosis. Abantu abasela kakhulu, ingakumbi abo bebesela rhoqo kwaye behlanza, kwaye abangatyi kakuhle, banokufumana amanqanaba aphezulu e-ketone. Njenge-DKA, le meko yingxamiseko yezonyango efuna unyango olukhawulezileyo.

Ziziphi iimpawu ze-ketones eziphezulu emzimbeni?

Ukuba unesifo seswekile kwaye ufumana ezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko, okanye uye kwigumbi likaxakeka (ETU) .

Iimpawu zokuqala zifana nezo zeswekile ephezulu egazini (i-hyperglycemia):

• Ukuchama rhoqo.
• Ndiziva ndinxaniwe kakhulu.
• Umlomo owomileyo kunye nokuphelelwa ngamanzi emzimbeni.
• Ulusu olomileyo.
• Intloko ebuhlungu.

Ukuba ayinyangwa, i-DKA inokuba yingozi ngokukhawuleza (kwiiyure ezingama-24 okanye ngaphantsi). Iimpawu ze-DKA enzima ziquka:

• Isicaphucaphu nokuhlanza.
• Ukudinwa kakhulu okungapheliyo nokuba sele uphumle.
• Isisu esibuhlungu.
• Ukuqhawukelwa ngumphefumlo.
• Ukudideka.
• Ivumba leziqhamo emlonyeni (ngamanye amaxesha libizwa ngokuba yi "keto breath").

Ujonga njani amanqanaba e-ketone? Zeziphi iimvavanyo ezikhoyo?

Iikiti zovavanyo lokujonga amanqanaba e-ketone ziyafumaneka kwiikhemesti okanye zinokuodolwa kwi-intanethi. Ukuba usemngciphekweni we-DKA, buza ugqirha wakho ukuba loluphi uvavanyo olulungele impilo yakho. Kungumbono olungileyo ukuba nekiti yovavanyo ukuze ukwazi ukwenza ngokukhawuleza ukuba ubona iimpawu ze-DKA.

Uvavanyo lwegazi

Ungafumana uvavanyo lwegazi kwiofisi kagqirha, okanye ungathenga ikhithi onokuyisebenzisa ekhaya. Ikhithi yasekhaya idla ngokubandakanya ukuhlaba umnwe wakho ngenaliti encinci ukuze ufumane ithontsi legazi. Ibekwa kumcu wovavanyo kwaye ifundwe kwimitha. Isikrini semitha sibonisa amanqanaba akho angoku e-ketone.

Ezinye iiglucometer zinokulinganisa amanqanaba eswekile yegazi kunye neeketone. Ukuba unayo, akufuneki wenze uvavanyo olwahlukileyo.

Uvavanyo lomchamo

Uvavanyo lomchamo ludla ngokubandakanya umcu wovavanyo. Uchamela kwisikhongozeli, uncamathisele umcu kuso, uze ulinde ukuba ujike ube nombala. Uvavanyo lomchamo lunetshathi yemibala ebonisa amanqanaba ahlukeneyo. Uthelekisa umbala womcu wovavanyo lwakho netshathi yemibala.

Ngokungafaniyo novavanyo lwegazi, uvavanyo lomchamo alunakukuxelela ngqo ukuba angakanani amanqanaba akho e-ketone ngoku . Nangona kunjalo, lunokukuxelela ukuba amanqanaba akho e-ketone ebenjani kwiiyure ezimbalwa ezidlulileyo .

Uvavanyo lweBreathalyzer

Abanye abantu abatya i-keto diet basebenzisa ii-breathalyzers eziphathwa ngesandla ukujonga amanqanaba abo e-ketone. Ezi breathalyzers zinokubona uhlobo lwe-ketone olubizwa ngokuba yi-acetone. Kodwa le teknoloji isentsha. Abaphandi kufuneka bafunde oku ngakumbi ngaphambi kokuba kuthathwe njengovavanyo oluthembekileyo noluchanekileyo.

Abantu abasengozini ye-DKA akufuneki bathembele kwi-breathalyzer ukujonga amanqanaba abo e-ketone.

Zithetha ukuthini iziphumo zovavanyo lwe-ketone?

Ukwazi amanqanaba akho e-ketone kunokukunceda wazi ukuba usemngciphekweni we-DKA nokuba kufuneka uthathe inyathelo elikhawulezileyo lokunciphisa amanqanaba akho e-ketone. Amanqanaba e-ketone anokwahluka ngokuxhomekeke kuvavanyo olulwenzayo. Kwakhona, oko kuthathwa njengamanqanaba aqhelekileyo okanye aphezulu e-ketone kunokwahluka kumntu nomntu.

Le theyibhile ingezantsi inika isikhokelo ngokubanzi sokuba amanqanaba e-ketone egazini lakho athetha ukuthini xa ujongene nomngcipheko wakho we-DKA, kunye namanyathelo omawuwathathe. (Jonga ugqirha wakho ukuze ufumane ingcebiso ethile ngale nto.)

• Ngokwesiqhelo ingaphantsi kwe-0.6 mmol/L: Eli linqanaba eliqhelekileyo.
• 0.6 ukuya kwi-1.5 mmol/L: Amanqanaba akho e-ketone aphezulu kancinci. Landela imiyalelo kagqirha wakho. Basenokukucela ukuba uphinde uvavanye emva kweeyure ezimbalwa.
• Ukusuka kwi-1.6 ukuya kwi-2.9 mmol/L:Amanqanaba akho e-ketone aphezulu. Usenokuba sengozini ye-DKA. Fowunela ugqirha wakho ngoko nangoko.
• 3.0 mmol/L okanye ngaphezulu: Amanqanaba akho e-ketone aphezulu kakhulu. Udinga unyango olukhawulezileyo. Yiya esibhedlele ngokukhawuleza.

Ufanele ujonge nini amanqanaba akho e-ketone?

Ukuba unesifo seswekile, ugqirha wakho uza kukunika ingcebiso yokuba kufuneka ujonge nini kwaye kangaphi amanqanaba akho e-ketone. Baza kukuxelela ukuba ujonge ngala maxesha:

• Xa uneempawu ze-DKA.
• Nokuba ugula okanye wenzakele.
• Ukuba uphoswe yinaliti enye okanye ezingaphezulu ze-insulin.
• Ukuba inqanaba leswekile egazini lakho liphezulu kune-240 mg/dl (ii-milligrams/deciliter).
• Ukuba ukhulelwe. (Ukulawula amanqanaba e-insulin ngexesha lokukhulelwa kunokuba nzima kancinci. Ukuba unesifo seswekile, kufuneka ulumke ngakumbi ngamanqanaba akho e-insulin kunye nee-ketone ngexesha lokukhulelwa.)

Kuthekani ukuba amanqanaba ee-ketone ayanda?

Njengoko bekutshiwo ngaphambili, ukuba amanqanaba e-ketone aphezulu, igazi lakho linokuba ne-asidi eninzi kwaye libe netyhefu. Oku kwenzeka kwi-ketoacidosis. I-ketoacidosis yesifo seswekile (i-DKA) lolona hlobo luqhelekileyo lwe-ketoacidosis.

Ziziphi iindlela zonyango zamanqanaba aphezulu e-ketone?

Unyango luxhomekeke ekubeni amanqanaba akho e-ketone aphakame kangakanani. Ugqirha wakho uza kukukhokela ngamanyathelo onokuwathatha ekhaya ukuze wehlise amanqanaba akho ngaphambi kokuba abe phezulu ngendlela eyingozi. Banokukucebisa ukuba wenze izinto ezinje:

• Ubungakanani be-insulin ekufuneka ithathwe.
• Ubungakanani bokutya okufuneka ukutye kunye namanzi okusela (kunye nohlobo lokutya).
• Inqanaba lomsebenzi okhuselekileyo.
• Ndifanele ndizijonge kangaphi iswekile kunye namanqanaba ee-ketone egazini lam?
• Xa iswekile kunye ne-ketone zingakanani egazini, kufuneka ubone ugqirha (okanye uye kwi-ER)?

Unyango esibhedlele luquka ukunika ulwelo lwe-IV kunye ne -insulin ukunciphisa amanqanaba akho e-ketone.

Ungayigcina njani amanqanaba e-ketone kwindawo ekhuselekileyo?

Ukuba ucinga ukuba usemngciphekweni omkhulu we-DKA, sebenzisana nogqirha wakho ukuze uthathe amanyathelo okuthintela oku.

• Gcina inkqubo yemihla ngemihla ekunceda ukulawula amanqanaba akho e-ketone. Yenza inkqubo egcina amanqanaba eswekile egazini lakho ekwinqanaba elikhuselekileyo kwaye amanqanaba e-insulin ajongelwe phantsi. Oku kuya kunciphisa umngcipheko wakho we-ketones ephezulu. Thetha nogqirha wakho weswekile ukuze ugqibe ukuba yintoni ekhuselekileyo.
• Ukuba usebenzisa ipompo ye-insulin, thetha neqela lakho lokhathalelo lwesifo seswekile malunga nendlela yokuthintela i-DKA. Ukuqonda indlela ipompo yakho ehambisa ngayo i-insulin, indlela yokubona ukungasebenzi kakuhle kwepompo, kunye nokuba nesicwangciso songxamiseko kunokunceda ukunciphisa umngcipheko we-DKA xa usebenzisa ipompo ye-insulin.
• Yazi amanqanaba akho (kwaye nini uvavanya).Yazi ukuba amanqanaba akho aqhelekileyo ee-ketones angakanani kwaye kufuneka uthathe amanyathelo okuwahlisa nini. Thetha nogqirha wakho malunga nokuba kufuneka uvavanye nini ii-ketones (umzekelo, ukuba unesilonda okanye usulelo).
• Lungela. Gcina isixhobo sovavanyo lwe-ketone sikufutshane ukuba uneempawu ze-DKA. Sebenzisana nogqirha wakho ukuze nenze isicwangciso sento eninokuyenza xa ii-ketones zakho ziphezulu kakhulu. Kubalulekile ukwazi ukuba nimfowunele nini ugqirha wakho kwaye niye nini kwi-ER ngoko nangoko.

Okokugqibela, izinto ekufuneka uzikhumbule

Uninzi lwexesha, ii-ketones ziluncedo oluthuleyo xa imizimba yethu ingakwazi ukufumana amandla aneleyo kwi-glucose. Nangona kunjalo, ukuba amanqanaba akho e-ketone aphezulu kwaye unesifo esifana ne-Type 1 Diabetes, kufuneka ukhathazeke kakhulu ngazo. Thetha nogqirha wakho malunga nento omawuyenze ukuba amanqanaba akho e-ketone aphezulu. Yenza isicwangciso sokugcina ii-ketones zakho zikwinqanaba elikhuselekileyo ukuze uphephe iingxaki ezifana ne-DKA. Impilo yakho isezandleni zakho!

IiKetones , isifo seswekile, i-ketoacidosis, i-DKA, iswekile yegazi, amandla, ukutsha kwamafutha