Ngaba unee-ketones kumchamo wakho? Masithethe ngale nto!

Usenokuba nexhala kancinci xa usiva ukuba unee-ketones kumchamo wakho, akunjalo? Kodwa ungakhathazeki. Makhe sithethe ngale nto ngokulula nangokucacileyo. Zithini ezi ketones? Kutheni zikho kumchamo wethu? Masiqonde konke oku ngokweenkcukacha namhlanje.

Zithini ezi ketones kumchamo?

Ngamafutshane, ii-ketones ziziphumo zokungakwazi komzimba wakho ukusebenzisa iswekile, i-glucose, esetyenziswa ngumzimba wakho ukuvelisa amandla. Kufana nokutshisa iinkuni esitovini esitshiswa ngomthi, ushiye uthuthu. Ezi ketones ziveliswa xa imizimba yethu iqhekeza amafutha ukuze ibe namandla. Ngokwenene luhlobo lwe-asidi. Njengezinye iimveliso zeekhemikhali emizimbeni yethu, ii-ketones ekugqibeleni ziyaphuma emizimbeni yethu emchameni wethu. Kodwa ngamanye amaxesha zinokufumaneka nasegazini lethu. Ukuba nee-ketones emchameni wakho kwaziwa ngokwezonyango njenge-'ketonuria.'

Khawucinge nje, kuyinto eqhelekileyo ukuba nee-ketones kumchamo wakho, oko kukuthi, inani elincinci . Akukho nto ifanele ixhalabe ngayo. Kuba ngamanye amaxesha imizimba yethu kufuneka isebenzise amafutha ukuze ifumane amandla. Umzekelo, xa silele, ukuba sizila ukutya usuku lonke, okanye ukuba sisitya ukutya okune-carbohydrate ephantsi, oko kukuthi, "i-Keto Diet" abantu abaninzi abathetha ngayo.

Nangona kunjalo, ukuba inani lee-ketones liyanda, liyingozi . Kuba ke i-asidi yegazi lethu iyanda. Siyibiza le meko ngokuthi yi-'Ketoacidosis'. Oku kuyinyani ngakumbi kubantu abanesifo seswekile, yiyo loo nto ibizwa ngokuba yi-'Diabetes-related Ketoacidosis (DKA)'. Le meko ebizwa ngokuba yi-DKA yingxamiseko yezonyango enokuba yingozi ebomini , ngoko ke ukuba uyayikrokrela, kubalulekile ukufuna unyango ngokukhawuleza.

Uzilinganisa njani ii-ketones kumchamo?

Kulungile, ngoko ke sazi njani ukuba kukho ii-ketones kulo mchamo, kwaye ukuba kunjalo, zingaphi? Zimbini iindlela eziphambili zokwenza oku.

Uvavanyo lwasekhaya

Ungathenga ezi strips zovavanyo lwe-ketone kwikhemesti okanye kwi-intanethi. Ziyafumaneka ngaphandle kwekhawuntara (OTC), oko kuthetha ukuba azidingi mvume kagqirha. Okufuneka ukwenze kukuqokelela umchamo wakho kwisitya esicocekileyo, untywilisele umchamo kuwo, uwushiye ixesha elichazwe ngumvelisi (ngesiqhelo imizuzwana embalwa), uze uwukhuphe. Umchamo uza kutshintsha umbala. Umchamo uza netshathi yombala. Kufuneka uthelekise umbala womchamo wakho netshathi yombala. Idla ngokubonisa amanqanaba akho e-ketone njengo-'negative', 'trace', 'small', 'moderate', okanye 'large'. Ezi strips zisetyenziswa kakhulu ngabantu abanesifo seswekile kunye nabo bakwi-'Keto Diet'.

Uvavanyo lwezonyango

Ngamanye amaxesha ugqirha wakho okanye umongikazi unokujonga amanqanaba akho e-ketone ngovavanyo lomchamo, olubizwa ngokuba yi-urinalysis. Kodwa ukuba uneempawu ze-ketoacidosis, ugqirha wakho usenokuyalela uvavanyo lwe-ketone egazini . Olu vavanyo lwegazi luchaneke ngakumbi kunovavanyo lomchamo. Lukwabonisa inani elichanekileyo lee-ketones emzimbeni wakho ngelo xesha. Uvavanyo lwegazi ludla ngokunika inani elichanekileyo endaweni yoluhlu.

Nantsi enye into ekufuneka uyiqonde. Kuthatha ixesha elithile ukuba imizimba yethu ivelise umchamo. Ngoko ke uvavanyo lomchamo aluyi kukunika umlinganiselo ochanekileyo wamanqanaba akho e-ketone ngoko nangoko. Nangona kunjalo, lunokukunika umbono ocacileyo wokuba amanqanaba akho e-ketone ebenjani kwiiyure ezimbalwa ezidlulileyo.

Kutheni ii-ketones zivela kumchamo wethu?

Ngoku makhe sijonge ukuba kutheni la ma-ketones evela kumchamo wethu. Umzimba ukhetha kakhulu ukusebenzisa 'iglucose' okanye iswekile ukubonelela ngamandla kwiseli nganye emzimbeni wethu. Sifumana le glucose kwiicarbohydrates esizityayo, oko kukuthi, ukutya okunesitatshi. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, umzimba wethu unyanzelekile ukuba utshise amafutha (ngamanye amaxesha kwanezihlunu) ukuze ufumane amandla.

Ukuba awufumani iicarbohydrate ezaneleyo , okanye ukuba awunayo i-hormone ye-insulin eyaneleyo, enceda umzimba wakho usebenzise i-glucose , umzimba wakho ungena kwimeko ebizwa ngokuba yi-ketosis. Kule meko ye-ketosis, umzimba utshisa amafutha ukuze ufumane amandla, kwaye ii-ketones zikhutshwa njengemveliso ephumayo. Ekugqibeleni zikhutshwa kumchamo.

Xa ii-ketones zenzeka ngokuqhelekileyo

Nezinto ezilula ezifana nokulala okanye ukuzila ukutya usuku olunye okanye ezimbini zinokubangela ukuba umzimba ungene kwimeko ye-"ketosis" kwaye uvelise inani elincinci lee-ketones kumchamo. Oku kunokuthathwa njengento eqhelekileyo nesempilweni.

Ngokufanayo, i-ketosis yenzeka xa ulandela 'ukutya kwe-Ketogenic' okanye 'ukutya kwe-Keto' njengoko kwaziwa kakhulu phakathi kwabaninzi. Olu hlobo lokutya lwe-keto lunamafutha amaninzi, luphakathi kwiproteni, kwaye luphantsi kakhulu kwi-carbohydrates. Ukuchaneka, ukutya okuqhelekileyo kwe-keto kumalunga ne-70% - 80% yamafutha, i-20% yeproteni, kunye ne-5% - 10% yee-carbohydrates. Ii-Ketones zihlala zibonwa kumchamo wabantu abalandela ukutya kwe-keto okungqongqo.

Izizathu zamanqanaba aphezulu ngokungaqhelekanga ee-ketone kumchamo

Kodwa ukuba une-ketones ezincinci, eziphakathi, okanye ezinkulu kumchamo wakho, kusenokwenzeka ukuba ayiqhelekanga . Kukho izizathu ezahlukeneyo zoku:

• Isifo seswekile:Sonke sidinga ihomoni ebizwa ngokuba yi-'Insulin' ukuze siphile kwaye sisebenzise i-glucose ukuze sifumane amandla. Ukuba unesifo seswekile, umzimba wakho awuvelisi i-insulin kwaphela, awuvelisi ngokwaneleyo, okanye awukwazi ukusebenzisa i-insulin eyivelisayo ngokufanelekileyo. Oku kubangela ukuba i-glucose iqokeleleke egazini, nto leyo ekhokelela kumanqanaba aphezulu eswekile egazini. Kwangaxeshanye, ngaphandle kwe-insulin, umzimba ungasebenzisa amafutha kuphela ukuze ufumane amandla. Ukuba ukungabikho kwe-insulin kuyaqhubeka, ii-ketone ziya kuqokelelana emzimbeni. Oku kunokukhokelela kwimeko esongela ubomi ebizwa ngokuba yi-'diabetic ketoacidosis (DKA)' ekhankanyiweyo ngaphambili.

Khawucinge nje, ukuba umntu onesifo seswekile akawuthathi kakuhle amayeza akhe aze angawufaki i-insulin, amanqanaba eswekile egazini lakhe anokungalawuleki kwiintsuku ezimbalwa, nto leyo ekhokelela kwimeko eyingozi efana nale. Ngoko ke, abantu abanesifo seswekile kufuneka balumke kakhulu ngale nto.

• Ingxaki yokusebenzisa utywala: Xa usela utywala kakhulu ixesha elide, inokuchaphazela indlela umzimba wakho ofunxa ngayo izondlo ezifana neecarbohydrates kwaye igcine iglucose esibindini (njenge-glycogen). Oku kunyanzela umzimba wakho ukuba utshise amafutha endaweni yoko, nto leyo enokukhokelela kwimeko ebizwa ngokuba yi-alcohol-related ketoacidosis. Njenge-DKA, le inokuba yimeko esongela ubomi.

• Ukukhulelwa: Eyona nto ibangela ii-ketones kumchamo ngexesha lokukhulelwa ``yi-Gestational diabetes.'' Nangona kunjalo, zonke ezinye izizathu ezikolu luhlu zinokubangela ii-ketones ngexesha lokukhulelwa.

• Ukuhlanza ixesha elide kunye/okanye urhudo: Ukuba ubuhlanza okanye urhudo ixesha elide, umzimba wakho unokuphelelwa yiglucose yamandla kwaye ii-ketones zinokuvela kumchamo wakho. Khawucinge ngomntwana omncinci onesisu esibuhlungu kangangeentsuku ezininzi kwaye uhlala ehlanza kwaye engatyi. Yile nto inokwenzeka.

• Iingxaki zokutya kunye nendlala: Ezinye iingxaki zokutya, ezifana ne-anorexia, kunye nokuzila ukutya ixesha elide zinokunciphisa ubungakanani beecarbohydrates kunye neglucose enokufunxwa ngumzimba wakho. Oku kunokubangela ukuba kuvele ii-ketones kumchamo wakho.

• Ukuzilolonga ixesha elide nolunzima: Xa uzilolonga ixesha elide nangokuzimisela, ukuba yonke iglucose egcinwe emzimbeni wakho (glycogen) isetyenzisiwe ukuze ufumane amandla, umzimba wakho uya kuqala ukutshisa amafutha. Oku kunokubangela ukuba kuvele ii-ketones kumchamo wakho.

Ngaba umntu ongenaso isifo seswekile angaba nee-ketones kumchamo wakhe?

Ewe, unokuba nee-ketones 'ezincinci' okanye 'ezincinci' kumchamo wakho nokuba awunaso isifo seswekile.Kunokuba yinto eqhelekileyo ngamanye amaxesha, ingakumbi ukuba uzila ukutya okanye ulandela ukutya okune-keto. Nangona kunjalo, akuqhelekanga ukuba umntu ongenaso isifo seswekile abe nee-ketones 'eziphakathi' okanye 'ezininzi' emchameni wakhe. Ukuba oku kuyenzeka, fowunela i-1990 Suwaseriya Ambulance Service eSri Lanka ngoko nangoko, okanye utsalele umnxeba inombolo yongxamiseko kwindawo okuyo , okanye uye kwigumbi longxamiseko elikufutshane. Usenokuba nesifo seswekile esingafunyaniswanga okanye esinye isifo esinzulu.

Ngawaphi amanqanaba e-ketone aqhelekileyo nayingozi kumchamo?

Ithini inqanaba eliqhelekileyo le-ketone?

Kuthathwa njengento eqhelekileyo nekhuselekileyo kubantu abaninzi abasempilweni ukuba nee-'trace' okanye 'ezincinci' zee-ketones kumchamo wabo.

Nangona kunjalo, ukuba unesifo seswekile okanye esinye isifo esikubeka emngciphekweni we-ketoacidosis, kwanalo eli nqanaba linokuba luphawu lwesilumkiso . Umzekelo, ukuba inqanaba leswekile yakho egazini lingaphezulu kwe-250 mg/dL (iswekile ephezulu egazini), kubalulekile ukujonga amanqanaba eswekile yakho egazini ngokusondeleyo kwaye uqhubeke nokuvavanya umchamo wakho ukuze ubone ukuba amanqanaba e-ketone ayanda.

Yintoni inqanaba le-ketone eliyingozi kumntu onesifo seswekile?

Naliphi na inqanaba le-ketone elingaphezulu 'kwe-small' okanye 'trace' linokuba yingozi, ingakumbi ukuba usengozini 'ye-ketoacidosis' (umz. isifo seswekile).

• Ukuba une-ketones encinci kumchamo wakho, oko kwandisa umngcipheko wakho we-ketoacidosis. Ukuba unesifo seswekile, thetha nogqirha wakho weswekile okanye umboneleli wezempilo malunga nendlela yokulawula esi sifo.
• Ukuba une-ketones eziphakathi okanye ezinkulu kumchamo wakho, usemngciphekweni omkhulu wokuba ne-ketoacidosis. Le yingxamiseko, ngoko ke funa uncedo lwezonyango ngokukhawuleza kwisibhedlele esikufutshane nawe.

Kuthetha ukuthini ukuba nee-ketones 'ezilandelelanayo' kumchamo?

Inqanaba 'elilandelelanayo' lee-ketones kumchamo ngokubanzi linqanaba elikhuselekileyo nelinempilo kubantu abangenaso isifo seswekile. Uninzi lwabantu lunokuba nee-ketones ezincinci kumchamo wabo, ingakumbi kusasa.

Ngaba ukubakho kwee-ketones kumchamo kunokubangela iimpawu?

Ewe, ukuba une-ketones kumchamo wakho, unokufumana ezinye iimpawu ngokuxhomekeke kubungakanani be-ketones.

Iimpawu zeKetosis

Imeko ye-"Ketosis," apho kukho ii-ketones ezincinci kumchamo (umz., xa utya i-keto), inokubangela iimpawu ezifana nezi kwabanye abantu:

• Uvakalelwa ngathi unesisu esibuhlungu, isicaphucaphu
• Intloko ebuhlungu
• Ukudinwa
• Inkungu yobuchopho, ubunzima bokugxila
• Ivumba elikhethekileyo eliphuma emlonyeni ('i-keto breath')
• Ukuqhinwa
• Ukungalali

Iimpawu zeKetoacidosis

Amanqanaba aphakathi okanye aphezulu ee-ketones kumchamo wakho athetha ukuba usenokuba nesifo esibizwa ngokuba yi-'ketoacidosis' – esaziwa ngokuba yi-'DKA' okanye i-'alcoholic ketoacidosis'. Oku kuyingozi kakhulu.

Iimpawu zokuqala ze-DKA zingabandakanya:

• Ukuchama rhoqo
• Ukoma kakhulu, umlomo owomileyo (i-polydipsia)
• Indlala egqithisileyo (i-polyphagia)
• Ukuphelelwa ngamanzi emzimbeni
• Intloko ebuhlungu

Iimpawu eziqatha ngakumbi ze-DKA kunye ne-alcohol ketoacidosis zingabandakanya:

• Isicaphucaphu nokuhlanza
• Intlungu ebuhlungu yesisu
• Urhudo
• Ubunzima bokuphefumla okanye ukuphefumla okubizwa ngokuba yi-'Kussmaul' (ukuphefumla okunzulu, okukhawulezayo, okusebenzayo)
• Umoya onuka iziqhamo (ivumba le-acetone)
• Ndiziva ndidiniwe kakhulu okanye ndibuthathaka
• Ukuncipha kwengqondo, ukuphazamiseka, okanye ukudideka (imeko yengqondo etshintshileyo)
• Ukuncipha kwamandla okuhlala uphaphile, ukozela

Ukuba unenye okanye ngaphezulu kwezi mpawu, yithathe njengengxamiseko yezonyango kwaye ufune unyango ngokukhawuleza, kuba oku kunokuba yingozi ebomini!

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

IiKetones, ngamanani amancinci, zinokuba yinxalenye yenkqubo eqhelekileyo emizimbeni yethu. Nangona kunjalo , ukuba iiketones ziqokelelana ngamanani amakhulu emzimbeni, inokuba yimeko enzima enokuba yingozi ebomini. Ingakumbi ukuba usengozini ye-'ketoacidosis', oko kukuthi, ukuba unesifo seswekile, thetha nogqirha wakho malunga nendlela yokusilawula ngokufanelekileyo. Kwakhona, ukuthetha ngento omawuyenze ukuba amanqanaba akho e-ketone aphezulu kakhulu, nokuba nesicwangciso esilungileyo, kuya kukunceda ekukhuseleni kwingozi. Kubaluleke kakhulu ukuhlala ukhathalela umzimba wakho, impilo yakho, kwaye uqaphele, uyaqonda?

IiKetones , iiketones kumchamo, i-ketoacidosis, i-DKA, isifo seswekile, ukutya kwe-keto, uvavanyo lomchamo