Xa usiya kugqirha ngexesha lokukhulelwa, ufumana uvavanyo lomchamo, akunjalo? Ngamanye amaxesha ugqirha usenokuthi kukho into ebizwa ngokuba yi- 'ketones ' kumchamo wakho. Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa usiva loo nto. Oomama abaninzi bacinga ukuba olu luphawu lwesifo esinzulu. Kodwa ungoyiki. Uninzi lwexesha, le yinto enokulawulwa. Namhlanje, siza kuthetha ngale nto ngokulula, ukuba kutheni iiketones zivela kumchamo ngexesha lokukhulelwa, nokuba ziyamchaphazela na umntwana, kunye nento esifanele siyenze.
Ngamafutshane, zithini ii-ketones?
Cinga ngemizimba yethu njengemoto. Ipetroli ephambili efunekayo kule moto yiglucose , okanye iswekile njengoko sisazi. Umzimba ufumana le glucose kukutya okuneecarbohydrate esikutyayo, okufana nerayisi, isonka kunye neetapile.
Nangona kunjalo, ukuba ngesizathu esithile umzimba awukwazi ukusebenzisa i-glucose, eyi-fuel yayo ephambili, umzimba utshintshela kumthombo wesibini wamafutha njengengxamiseko. Oko kukuthi, amafutha agcinwe emzimbeni. Ngoko ke xa umzimba utshisa amafutha ukuze ufumane amandla, iikhemikhali eziveliswa njengemveliso engasemva zezo sizibiza ngokuba zii-ketones. Ezi ketones zikhutshwa emchameni ngezintso. Le meko yokuba nee-ketones emchameni ngokwezonyango ibizwa ngokuba yi-ketonuria .
Ziziphi izizathu eziphambili ze-ketones ngexesha lokukhulelwa?
Kukho izizathu ezahlukeneyo zokuba ii-ketones zibonakale kumchamo ngexesha lokukhulelwa. Ezinye zazo ziqhelekile, ngelixa ezinye zifanele zixhalabise.
1. Isifo seswekile sokukhulelwa
Esi sesona sizathu siphambili sokwakheka kwee-ketones kwaye leso sinikela ingqalelo kakhulu kuso.
Kwenzeka ntoni emzimbeni wakho ngexesha lokukhulelwaUtshintsho lweehomoni lunokuphazamisana nomsebenzi wehomoni ebizwa ngokuba yi-insulin emzimbeni. I-insulin ifana nesitshixo esinceda i-glucose (iswekile) egazini ingene kwiiseli kwaye yenze amandla. Xa esi sitshixo singasebenzi kakuhle, i-glucose iqokelelana egazini endaweni yokungena kwiiseli. Oku sikubiza ngokuba yi-gestational diabetes .
Ngoko ke, ekubeni iiseli zomzimba zingenaso iglucose, ziqala ukutshisa amafutha ukuze zifumane amandla. Kulapho ke iiketones zenziwa khona kwaye zikhutshwe emchameni. Ukuba neeketones emchameni wakho luphawu lokuba amanqanaba eswekile egazini lakho asenokungalawuleki.
2. Ngaba abantu abangenaso isifo seswekile banazo ii-ketones?
Ewe, kunjalo ngokuqinisekileyo. Isifo seswekile asiso sodwa esibangela esi sifo. IiKetones zinokubonwa nakumchamo ngenxa yezi zizathu zilandelayo.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukungatyi ngokwaneleyo | Ukuba awusebenzisi iikhalori ezaneleyo ukuhlangabezana neemfuno zamandla zakho nomntwana wakho, umzimba wakho uza kusebenzisa amafutha njengeemandla. |
| Ukugula Kwasekuseni | Ukuba uhlanza kakhulu, umzimba wakho awukwazi ukufunxa into oyityayo, kwaye ungaphelelwa ngamanzi emzimbeni. Zombini ezi zinto zinokubangela ukwakheka kwee-ketones. |
| Ukutsiba ukutya okanye ukuzila ukutya | Amanqanaba eglucose egazini ayehla emva kweeyure ezininzi zokuzila ukutya. IiKetones zinokubonakala kumchamo kusasa, ingakumbi ngenxa yexesha elide phakathi kwesidlo sangokuhlwa nesakusasa. |
| Ukuzilolonga kakhulu | Ukuba uzilolonga ngaphezu kokuba umzimba wakho unako, i-glucose yakho iya kuphela ngokukhawuleza kwaye umzimba wakho uya kuqala ukutshisa amafutha. |
| Ukutya okune-carbohydrate ephantsi | Ukuba unciphisa ukutya okunesitatshi okufana nerayisi nesonka, umzimba wakho uya kulahlekelwa ngamandla awo aphambili kwaye uvelise ii-ketones. |
Ngaba ukuba nee-ketones kuyingozi kumntwana?
Olu lolona loyiko lukhulu koomama abaninzi. Enyanisweni, ii-ketones zidlula kwi -placenta ziye kumntwana. Ngoko ke , ukuba ii-ketones zikhona emzimbeni kwinqanaba eliphezulu , kukholelwa ukuba zinokuba nefuthe ekuphuhlisweni kwengqondo yomntwana.
Nangona kunjalo, into ebalulekileyo ekufuneka uyiqonde apha kukuba ngamanye amaxesha ukuba neengqokelela ezincinci kumchamo wakho, kwaye kungekho zimpawu zimbi, akusoloko kuyinto exhalabisayo. Uninzi lwexesha, oku kwenzeka emva kokuba utye ebusuku kwaye ulinde kude kube kusasa. Nangona kunjalo, ugqirha wakho uya kujonga oku aze akunike iingcebiso ezifunekayo.
Ziziphi iimpawu ezinokubonisa ukuba une-ketones?
Ixesha elininzi, usenokungabi nazimpawu nokuba une-ketones kumchamo wakho. Yiyo loo nto iikliniki zihlala zivavanya umchamo wakho. Nangona kunjalo, ngamanye amaxesha ii-ketones zinokubonakala ngezinto ezifana nezi:
- Ukwanda kwamanqanaba eswekile egazini.
- Ukuziva unxaniwe kakhulu, nokuba usela amanzi angakanani na.
- Ndiziva ndidiniwe kakhulu kwaye ndidiniwe.
- Usulelo oluqhelekileyo lwesini okanye lwendlela yomchamo.
Imeko efuna ingqalelo ekhawulezileyo – DKA
Ukuba unesifo seswekile okanye isifo seswekile sokukhulelwa, kufuneka uqaphele imeko eyingozi ebizwa ngokuba yi -diabetes ketoacidosis (DKA) . Oku kwenzeka xa amanqanaba eswekile yegazi kunye nee-ketone eba phezulu kakhulu.
I-DKA yimeko engxamisekileyo yezonyango esongela ubomi . Ukuba unale mpawu, kufuneka uye kwisebe lezonyango elingxamisekileyo (ETU) ngokukhawuleza .
- Amanqanaba aphezulu kakhulu eswekile egazini.
- Unxaniwe ngendlela enganyamezelekiyo.
- Umbono ofipheleyo.
- Umchamo omninzi rhoqo.
- Ukulala kakhulu kunye nokukruquka.
- Ivumba elimnandi leziqhamo emlonyeni.
Le meko ayiqhelekanga kakhulu ngexesha lokukhulelwa, kodwa inokwenzeka ukuba isifo seswekile asilawulwa.
Ungayilawula kwaye uthintele njani amanqanaba ee-ketone emzimbeni?
Unyango luxhomekeke kwisizathu. Ugqirha wakho uya kugqiba ngolona nyango lufanelekileyo.
- Ukuba unesifo seswekile: Kuya kufuneka utshintshe indlela otya ngayo ukuze ulawule amanqanaba eswekile egazini lakho. Kusenokufuneka uthathe inaliti ye-insulin.
- Ukuba ukuhlanza yimbangela: Kuya kufuneka uthathe amayeza okulawula ukuhlanza okanye, ukuba kuyimfuneko, ulaliswe esibhedlele kwaye unikwe i-saline (IV fluids).
- Ukuba kungenxa yokutya okunganelanga: Yandisa inani lokutya kwaye ucebise abantu ukuba batye ukutya okunesondlo.
Ezi zinto ngokubanzi zinceda ukugcina amanqanaba eeketone kwinqanaba elifanelekileyo :
- Ungaze utye ukutya. Ingakumbi ngexesha lokukhulelwa, musa ukutya ukutya okuncinci.
- Sela amanzi amaninzi kunye nolwelo. Kubaluleke kakhulu ukunqanda ukopha emzimbeni.
- Yitya izidlo eziphambili ezi-3 kunye nezidlo ezi-3 ngosuku.
- Ukutya into encinci, njengeyogathi, iglasi yobisi, okanye isiqhamo , ngaphambi kokuba ulale ebusuku kunokunceda ukunciphisa amanqanaba e-ketone kusasa.
- Faka ibhalansi yeproteni (amaqanda, inyama, intlanzi, iimbotyi, iitshickles) kunye neecarbohydrate (irayisi, iimbotyi, iioats, isonka sebran) kwisidlo ngasinye.
- Zilolonge yonke imihla.
Ufanele ubize nini ugqirha wakho?
Ukuba sele uyazi ukuba une-ketones kumchamo wakho kwaye unenye okanye ngaphezulu kwezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko.
- Ifiva.
- Ukuhlanza okanye urhudo.
- Ukuba unesifo seswekile, inqanaba leswekile egazini lakho linokunyuka ngaphezu kwamanqanaba aqhelekileyo ngaphandle kwesizathu esicacileyo.
- Amanqanaba e-urine ketone abonakala “ephakathi” okanye “enkulu” xa evavanywa ekhaya.
Umyalezo Wokuya Ekhaya
- IiKetones ziveliswa kumchamo kuba umzimba utshisa amafutha ukuze ufumane amandla xa ungafumani glucose eyaneleyo (iswekile).
- Oku kubonakala rhoqo ngexesha lokukhulelwa ngenxa yotshintsho kwindlela yokutya, isicaphucaphu sasekuseni, okanye isifo seswekile sokukhulelwa .
- Ukuba nenani elincinci lee-ketones ngamanye amaxesha akusoloko kuyinto exhalabisayo, kodwa amanqanaba aphezulu ahlala ekho afuna unyango.
- Ungaze utye ukutya okanye uzame ukunciphisa umzimba ngexesha lokukhulelwa. Sela amanzi amaninzi.
- Ukuba une-ketones kumchamo wakho, soloko ulandela imiyalelo kagqirha wakho yokulawula loo meko. Kubalulekile ukuqonda imeko ngokuchanekileyo kwaye ungoyiki.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho