Ngaba ungumntu onesifo seswekile? Okanye ngaba kukho umntu kusapho lwakho okanye umhlobo wakho onesifo seswekile? Ngoko mhlawumbi ukhe weva igama elithi 'ketones'. Kodwa zithini ezi ketones? Kutheni zibaluleke kangaka kumntu onesifo seswekile? Makhe sithethe ngale nto namhlanje ngendlela elula onokuyiqonda. Ukukwazi oku ngokuchanekileyo kunokunceda ukusindisa ubomi bakho.
Ngamafutshane, zithini ii-ketones?
IiKetones luhlobo lwe-asidi eveliswa sisibindi sethu. Wonke umntu uvelisa inani elincinci leeketones emizimbeni yakhe, nokuba unesifo seswekile okanye akanaso.
Ngoko ke ezi zinto zenzeka njani? Imizimba yethu isebenzisa iswekile, okanye iglucose, njengomthombo wayo oyintloko wamandla. Ihomoni ebizwa ngokuba yi-insulin ibalulekile ekuguquleni le glucose ibe ngamandla. Nangona kunjalo, xa kungekho insulin yaneleyo emzimbeni, umzimba awukwazi ukusebenzisa iglucose ukuze ufumane amandla. Umzimba emva koko ukhangela omnye umthombo wamandla. Loo mafutha agcinwe emizimbeni yethu.
Xa umzimba uqala ukutshisa amafutha ukuze ufumane amandla, la ma-ketone aveliswa njengemveliso ephumayo. Le nkqubo siyibiza ngokuba yi-ketosis . Oku akusoloko kuyingxaki kumntu ongenaso isifo seswekile. Nangona kunjalo, kumntu onesifo seswekile, ingakumbi ukuba ulawulo lwe-insulin lulahlekile, la manqanaba e-ketone anokunyuka ngokungalawulekiyo. Ukuba amanqanaba e-ketone egazini aphakama ngendlela eyingozi, kunokukhokelela kwingxaki enkulu kakhulu, esongela ubomi ebizwa ngokuba yi-Diabetic Ketoacidosis (DKA) .
Ngubani ofanele enze uvavanyo lwe-ketone?
Ukuba unesifo seswekile, kubaluleke kakhulu ukuba uqaphele uvavanyo lwee-ketone.
- Abantu abanesifo seswekile sohlobo loku-1: Aba basengozini enkulu. Kwisifo seswekile sohlobo loku-1, inkqubo yomzimba yokuzikhusela itshabalalisa iiseli ezivelisa i-insulin kwi-pancreas. Ngaphandle kwe-insulin, amanqanaba eswekile egazini kunye namanqanaba e-ketone anokunyuka ngokulula.
- Abantu abanesifo seswekile sohlobo lwesibini: Banokuba namanqanaba aphezulu e-ketone, kodwa ayiqhelekanga njengakwisifo seswekile sohlobo loku-1.
- Abantu abasela kakhulu: Abantu abasela kakhulu yonke imihla kwaye abangatyi okanye abangaseli kakuhle banokufumana imeko ebizwa ngokuba yi -alcohol ketoacidosis . Le yimeko engxamisekileyo efuna unyango olukhawulezileyo.
Ufanele uvavanye nini ii-ketones?
Ukuba unesifo seswekile, ugqirha wakho uya kukucebisa ukuba ujonge amanqanaba akho ee-ketone ngala maxesha alandelayo:
- Ukuba inqanaba leswekile egazini lakho liphezulu kune- 250 mg/dL kangangeentsuku ezimbini zilandelelana.
- Ukuba unesifo esifana nomkhuhlane, umkhuhlane, okanye ukwenzakala.
- Ukuba uceba ukwenza umthambo kwaye inqanaba leswekile egazini lakho lingaphezulu kwe-250 mg/dL ngelo xesha.
- Ukuba awukwazi ukufumana inaliti ye-insulin emiselweyo.
- Ukuba ukhulelwe (ingakumbi ukuba unesifo seswekile sokukhulelwa).
- Ukuba ukhe watyandwa .
- Ukuba awukwazi ukutya nantoni na.
- Ukuba usebenzisa ipompo ye-insulin ize iyeke ukusebenza.
Ziziphi iimpawu ze-ketone ephezulu emzimbeni?
Ukuba ufumana ezi mpawu zilandelayo, bubulumko ukwenza uvavanyo lwe-ketone ngoko nangoko. Ezi zisenokuba ziimpawu zokuqala ze-DKA.
| Iimpawu zokuqala | Iimpawu zesifo esinzima |
|---|---|
| Unxano olugqithisileyo kunye nomlomo owomileyo | Ukudinwa kakhulu nokudinwa |
| Ukuchama rhoqo | Isicaphucaphu, ukuhlanza, kunye nokuqaqamba kwesisu |
| Umoya onuka iziqhamo | Ubunzima bokuphefumla |
| Intloko ebuhlungu | Ubomvu bolusu |
| Ulusu olomileyo | Ukudideka (ingxaki yengqondo) |
Eyona nto ibalulekileyo kukujonga amanqanaba akho eeketone rhoqo emva kweeyure ezi-4 ukuya kwezi-6 ukuba amanqanaba eswekile egazini lakho aphezulu okanye uziva ugula.
Ujonga njani amanqanaba e-ketone emzimbeni?
Kukho iindlela ezimbini eziphambili zokuvavanya amanqanaba akho e-ketone, zombini onokuyenza ekhaya.
1. Uvavanyo lomchamo
Le yeyona ndlela ixhaphakileyo nengabizi kakhulu. Ungathenga imicu yovavanyo yoku kwikhemesti.
- Faka umchamo kwikomityi ecocekileyo.
- Nciphisa umcu wovavanyo kuwo.
- Shukumisa umcu kancinci uze ulinde ixesha elichazwe kwimiyalelo ide itshintshe umbala.
- Thelekisa umbala womgca kunye netshathi yemibala oyifumeneyo ukuze ufumane inqanaba le-ketone yakho.
2. Uvavanyo lwegazi
Le ndlela ichaneke ngakumbi kunovavanyo lomchamo. Ezinye iimitha zeglucose yegazi zikwanakho nokuvavanya ii-ketones.
- Hlamba uze womise izandla zakho kakuhle.
- Faka umcu wovavanyo lwe-ketone kwimitha.
- Hlaba umnwe wakho uze ubeke ithontsi legazi kumcu wovavanyo.
- Funda isiphumo esiboniswe kwimitha.
Uvavanyo lwegazi lukunika inqanaba lee-ketones egazini lakho ngelo xesha, ngoko ke luchaneke ngakumbi. Kodwa imicu yovavanyo ibiza kakhulu. Buza ugqirha wakho ukuba yeyiphi indlela efanelekileyo kuwe.
Zithetha ukuthini iziphumo zovavanyo lwam?
Kubaluleke kakhulu ukuqonda iziphumo zakho.
| Uhlobo lovavanyo | Isiphumo | Kwenziwe ntoni |
|---|---|---|
| Uvavanyo lomchamo | ||
| Umchamo | Akukho ketones (ezingalunganga) | Eqhelekileyo. |
| Umkhondo / Omncinci | IiKetones ziqala ukwakheka. Sela amanzi amaninzi. Jonga kwakhona emva kweeyure ezimbalwa. | |
| Iphakathi | Fowunela ugqirha wakho ngoko nangoko. | |
| Phezulu/Mkhulu | Le yimeko engxamisekileyo! Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. | |
| Uvavanyo lweGazi | ||
| Igazi | Ngaphantsi kwe-0.6 mmol/L | Eqhelekileyo. |
| 0.6 - 1.5 mmol/L | Kugqithisile kancinci. Landela imiyalelo kagqirha wakho. Jonga kwakhona. | |
| 1.6 - 2.9 mmol/L | Kukho umngcipheko we-DKA. Fowunela ugqirha wakho ngoko nangoko. | |
| Ngaphezulu kwe-3.0 mmol/L | Umngcipheko omkhulu kakhulu. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. | |
Indlela yokunciphisa amanqanaba ee-ketone emzimbeni?
Ukuba amanqanaba akho e-ketone anyukile kancinci, kukho izinto ezimbalwa onokuzenza. Kodwa khumbula, eyona nto ibalulekileyo kukulandela isicwangciso ugqirha wakho akunike sona.
- Sela amanzi amaninzi: Oku kunceda ukukhupha ii-ketones emzimbeni.
- Jonga iswekile yegazi rhoqo: Jonga rhoqo emva kweeyure ezi-3-4.
- Musa ukuzilolonga: Ukuba zombini iswekile egazini lakho kunye neeketones ziphezulu, ukuzilolonga kunokuyenza imeko ibe mandundu.
- Cela ingcebiso kugqirha wakho: Buza ugqirha wakho malunga nobungakanani be-insulin efunekayo kunye nokutya omele ukutye ukuze unyange amanqanaba aphezulu e-ketone.
Umyalezo Wokuya Ekhaya
- IiKetones luphawu olubalulekileyo lwesilumkiso kubantu abanesifo seswekile, ingakumbi isifo seswekile sohlobo loku-1.
- Amanqanaba aphezulu kakhulu ee-ketones egazini anokubangela imeko engxamisekileyo esongela ubomi ebizwa ngokuba yi-DKA (Diabetic Ketoacidosis) .
- Vavanya ii-ketones nanini na xa inqanaba leswekile egazini lakho lingaphezulu kwe-250 mg/dL, xa unesifo, okanye nanini na xa ugqirha wakho ekucebisa.
- Lumka xa kukho iimpawu ezifana nevumba leziqhamo emlonyeni, ukoma kakhulu, kunye nokudideka.
- Ukuba amanqanaba akho e-ketone aphakathi okanye aphezulu , musa ukulibazisa kwaye utsalele umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Soloko uthetha nogqirha wakho malunga nendlela yokulawula amanqanaba akho e-ketone kwaye uphuhlise isicwangciso esicacileyo.
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