Ngamanye amaxesha siziva singakhululekanga ngevumba eliphuma emlonyeni wethu. Yinto eqhelekileyo. Inokwenzeka xa usitya ukutya okuneziqholo ezifana ne-anyanisi okanye igalikhi, okanye xa ungahlambi amazinyo akho kakuhle. Nangona kunjalo, ukuba umoya wakho unuka iziqhamo, njengesixhobo sokususa ipolishi yezipikili, oko akwenzeki. Oku kungaba luphawu lwengxaki enkulu yempilo. Yiloo nto sithetha ngayo namhlanje.
Kutheni umoya wam unuka njenge-acetone?
Ngamafutshane, ukuba umoya wakho unuka ngolu hlobo, oko kuthetha ukuba amanqanaba egazi lakho eekhemikhali ezibizwa ngokuba zii-ketones aphezulu. Musa ukoyika igama elithi "ketones." Masiyigcine ilula.
Iiseli zomzimba wethu zifuna amandla ukuze zisebenze. La mandla avela kwiswekile ebizwa ngokuba yiglucose ekutyeni esikutyayo. Kufana nepetroli emotweni. Nangona kunjalo, ukuba ngesizathu esithile iiseli zethu azikwazi ukuyisebenzisa le glucose, umzimba ufumana enye indlela. Oko kukutshisa amafutha agcinwe emzimbeni ukuvelisa amandla .
Cinga ngokuzama ukuqhuba imoto ngento efana ne-parafini xa iphelelwa yipetroli. Imoto iyaqhuba, kodwa ayilungelanga injini kwaye iyatshaya. Ngokufanayo, xa umzimba utshisa amafutha, ezi asidi zibizwa ngokuba zii-ketones zongezwa egazini njengemveliso ephumayo. Xa la manqanaba e-ketone enyuka kakhulu, umphefumlo wakho uqala ukunuka njenge-acetone okanye isiqhamo.
Yintoni ubudlelwane phakathi kwesifo seswekile kunye nokuphefumla kwe-acetone?
Le meko ebizwa ngokuba yi-acetone breath inxulunyaniswa kakhulu nesifo seswekile, ingakumbi kubantu abanesifo seswekile sohlobo loku-1 .
Isifo seswekile sisifo apho inqanaba leswekile egazini linyuka ngaphezu kwenqanaba eliqhelekileyo. Ngokwesiqhelo, i-hormone insulin, eveliswa yipancreas yethu, isebenza njengesitshixo esivula ucango lokuvumela iswekile ingene kwiiseli zethu. Kumntu onesifo seswekile, umzimba uvelisa i-insulin encinci okanye uvelisa i-insulin encinci kwaphela. Okanye, umzimba awukwazi ukusebenzisa i-insulin oyivelisayo ngokufanelekileyo.
Ngoko ke, kwenzeka ntoni xa ungenayo i-insulin? Iglucose ayinakungena kwiiseli. Iyaqokelelana egazini. Kodwa iiseli azinawo amandla. Njengokupheka ekhaya.Kufana nokuba ucango lwasekhitshini lutshixiwe xa lugcwele, kwaye usapho kufuneka lulambe.
Kulapho umzimba uqala ukutshisa amafutha ukuze ufumane amandla, njengoko bekutshiwo ngaphambili. Emva koko inqanaba lee-ketones egazini liyanda ngendlela eyingozi. Le meko siyibiza ngokuba yiDiabetic Ketoacidosis (DKA) . Le yingxamiseko yezonyango enzulu kakhulu, esongela ubomi.
Enye yezona mpawu ziphambili neziphambili ze-DKA yile mphumo ivumba njengeziqhamo. Le yenye yeempawu zokuqala ezikhangelwa ngoogqirha xa becinga ukuba i-DKA inesifo.
Ziziphi ezinye iimpawu ze-DKA?
Ukongeza kwi-acetone breath, kukho nezinye iimpawu ezininzi ze-DKA. Ezi zinokubonakala ngokukhawuleza kakhulu, ngamanye amaxesha zingadlulanga iiyure ezingama-24. Zisenokuba phakathi kweempawu zokuqala umntu osandul’ ukufunyanwa enesifo seswekile azibonayo.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ukoma kakhulu kunye nokuchama rhoqo | Umzimba uzama ukukhupha iswekile engaphezulu egazini ngezintso ezikwimchamo. Kwangaxeshanye, amanzi amaninzi nawo akhutshwa emzimbeni, nto leyo ebangela ukoma okukhulu. |
| Isicaphucaphu nokuhlanza | Amanqanaba aphezulu e-ketone egazini anokubangela ukuphazamiseka kwesisu, isicaphucaphu, kunye nokuhlanza. |
| Ukudinwa kunye nobuthathaka | Umzimba uziva udiniwe kakhulu kwaye ubuthathaka kuba iiseli azifumani amandla (iglucose) eziwadingayo. |
| Ubunzima bokuphefumla | Xa i-asidi egazini (ngenxa yee-ketones) isanda, umzimba uzama ukuyilawula ngokuphefumla ngokukhawuleza nangokukhupha i-carbon dioxide. |
| Ukudideka | Le meko ichaphazela ukusebenza kwengqondo, nto leyo enokubangela ukuncipha kokuphaphama nokudideka. |
| Ukunciphisa umzimba ngequbuliso | Ngenxa yokuba umzimba utshisa amafutha ukuze ufumane amandla, ukwehla kobunzima kunokwenzeka ngokukhawuleza (ingakumbi kwisifo seswekile sohlobo 1 esisandula ukuxilongwa). |
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Le yinxalenye ebaluleke kakhulu .
- Ukuba unesifo seswekile kwaye umoya wakho unuka njenge-acetone, okokuqala, landela isicwangciso sonyango esinikwe ngugqirha wakho ngqo. Oko kuthetha ukuthatha inaliti ye-insulin kunye namayeza ngexesha.
- Ukuba ulandela unyango ngokuchanekileyo, kodwa amanqanaba akho e-ketone (alinganiswa ngemicu yovavanyo) aphakathi okanye aphezulu, fowunela ugqirha wakho ngoko nangoko.
- Nokuba awunaso isifo seswekile, ukuba unenkxalabo malunga nevumba le-acetone elingapheliyo, qiniseka ukuba ubonana nogqirha.
I-DKA yimeko engxamisekileyo yezonyango. Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, yiya kwicandelo lezonyango elingxamisekileyo (ETU) ngokukhawuleza.
* Ukuba uneempawu ezingaphezu kwesinye ze-DKA ezikhankanyiweyo apha ngasentla.
* Ukuba awukwazi ukunxibelelana nogqirha wakho.
* Ukuba inqanaba leswekile egazini lakho lihlala liphezulu kune-300 mg/dL.
Nceda ungayithathi lula le meko. Unyango olukhawulezileyo lunokusindisa ubomi.
Ngaba kukho ezinye izizathu zomoya we-acetone ngaphandle kwesifo seswekile?
Ewe. Nangona isifo seswekile sisona sibangela siphambili, esi sifo sinokubakho ngenxa yezinye izizathu ezininzi.
| Isizathu | Inkcazo |
|---|---|
| Ukutya kweKeto kunye nokuzila ukutya | Ukutya kwe-keto kukutya okunamafutha amaninzi, okuneeproteni eziphakathi, kunye nokutya okuneekhabhohayidreyithi eziphantsi kakhulu. Kunyanzela umzimba ukuba utshise amafutha ukuze ufumane amandla. Oku kwenzeka naxa uzila ukutya ixesha elide. Oku kunokubangela ukuba amanqanaba e-ketone egazini anyuke, nto leyo enokubangela ivumba leziqhamo emlonyeni wakho. |
| I-Alcoholic Ketoacidosis | IiKetones zinokuba phezulu kakhulu egazini labantu abasela utywala obuninzi, abangatyi kakuhle, nabahlanzayo. Le yimeko enzulu kakhulu. Iimpawu ezifana nokuhlanza kunye nentlungu yesisu zinokubhidaniswa nezinye iimeko zonyango. Kodwa unyango olukhawulezileyo lubalulekile. |
Umyalezo Wokuya Ekhaya
- Ukuba umoya wakho unuka njengesiqhamo okanye isixhobo sokususa ipolishi yeenzipho (i-acetone breath), musa ukuwutyeshela njengomoya oqhelekileyo ongcolileyo.
- Oku kudla ngokuba luphawu oluqinileyo lwe -diabetes ketoacidosis (DKA), ingxaki enkulu yesifo seswekile.
- Ukuba unesifo seswekile kwaye lo moya unukayo uhamba nezinye iimpawu ezifana nokunxanwa kakhulu, ukuchama rhoqo, ukuhlanza, kunye nokudinwa kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ukongeza kwisifo seswekile, ukutya okune-keto okanye ukusela utywala kakhulu nako kunokuba zizizathu, kodwa nokuba yintoni na imbangela, kubalulekile ukubonana nogqirha wakho ukuze akunike iingcebiso .
- Olu phawu lumyalezo obalulekileyo ovela emzimbeni wakho okanye womntu omthandayo. Mamela.
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