Ingaba ii-ketones zakho ziphezulu? Masithethe ngale nto ngokulula!

Ngaba wakha weva ngegama elithi 'iiKetones'? Ukuba unesifo seswekile, usenokuba uqhelene neli gama. Okanye usenokuba ukhe weva ngokutya 'iiKeto'. Zithini kanye kanye iiketones? Ngaba zilungile okanye azilunganga emizimbeni yethu? Kwenzeka ntoni ukuba ziyanda? Masithethe ngazo zonke ezi zinto ngokulula nangokucacileyo.

Ngamafutshane, zithini ii-ketones?

Cinga ngomzimba wakho njengemoto. Eyona nto iphambili efunekayo ukuze le moto isebenze yiglucose. Olu hlobo lweswekile olubizwa ngokuba yiglucose luvela kakhulu ekutyeni esikutyayo okuqulethe iicarbohydrate (umz. irayisi, isonka, iitapile).

Khawucinge nje ngoku, kuya kwenzeka ntoni ukuba ngesizathu esithile umzimba awukwazi ukusebenzisa le glucose fuel okanye ukuba ayanelanga? Ngaba imoto iya kuma? Hayi. Umzimba wethu ukrelekrele kakhulu. Ngelo xesha, umzimba uqala ukutshisa amafutha agciniweyo ukuze uvelise amandla. Njengemoto esebenza kwi-reserve tank xa iphelelwa yipetroli.

Ezi ketones zikhutshwa egazini zize zihambe emzimbeni wonke ukuze zinike amandla kwiiseli. Emva koko iiketones eziseleyo zikhutshwa kumchamo.

Enyanisweni, kuyinto eqhelekileyo kwaye isempilweni ukuba nee-ketones egazini lethu, njengoko kuyinkqubo eqhelekileyo ukuba umzimba wethu usebenzise lo mthombo wamandla xa kufuneka.

Kodwa ingxaki iqala xa la manqanaba e-ketone ephakama kakhulu ngaphandle kokulawulwa. Emva koko igazi lethu liba ne-asidi kakhulu kwaye libe yityhefu. Oku sikubiza ngokuba yi-ketoacidosis. Le yimeko eyingozi efuna unyango olungxamisekileyo.

Amanqanaba e-ketone adla ngokwanda nini?

Inkqubo yokuveliswa kwee-ketone ibizwa ngokuba yi-ketosis. Le ayisiyongxaki, iqhelekile. Umzekelo, amanqanaba e-ketone emzimbeni wakho anokunyuka kancinci ngokwendalo kwiimeko ezilandelayo:

• Xa ulele: Kuba awukatyi kangangeeyure.
• Xa uzila ukutya: Umzimba utshisa amafutha kuba ungatyi.
• Xa uzilolonga: Kuba kufuneka amandla angakumbi.
• Xa usenza ukutya kweKeto: Olu hlobo lokutya lubandakanya ukunciphisa iicarbohydrates nokunyusa ukutya okunamafutha, ukuze umzimba ufunde ukutshisa amafutha phantse ngamandla.

Ngoobani abanobungozi kwi-ketones? Isifo seswekile kunye ne-ketones

Xa kufikwa kwii-ketones, abantu abanesifo seswekile, ingakumbi i-Type 1 Diabetes, bafanele bakhathazeke kakhulu ngazo.

Isizathu sesi. Njengoko besitshilo ngaphambili, ihomoni ebizwa ngokuba yi-insulin inceda iiseli zomzimba wethu ukuba zithathe i-glucose (iswekile) kwaye ziyisebenzisele amandla. Umntu onesifo seswekile sohlobo loku-1 akavelisi le homoni.

Ngoko ke, kwenzeka ntoni xa ulahlekelwa yi-insulin?

1. Iswekile egazini ayinakungena kwiiseli kwaye iqokelelana egazini. Oku kubangela ukuba inqanaba leswekile egazini libe phezulu kakhulu (`iHyperglycemia`).

2. Ngenxa yokuba iiseli zingenawo amandla, umzimba ucinga ukuba "uyalamba."

3. Yakha amandla, kwaye umzimba wakho uya kuqala ukutshisa amanqatha ngokukhawuleza.

4. Ngenxa yoko, inani elikhulu kakhulu lee-ketones lenziwa ngaxeshanye kwaye liqokelelana egazini.

5. Eli nqanaba liphezulu lee-ketones libangela ukuba igazi libe ne-asidi, nto leyo ekhokelela kwimeko eyingozi ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) .

Nangona le meko ixhaphake kakhulu kubantu abanesifo seswekile sohlobo loku-1, inokwenzeka nakwezinye iimeko nakubantu abanesifo seswekile sohlobo lwesibini.

Ukongeza, abantu abasela utywala kakhulu basengozini yokufumana imeko efanayo ebizwa ngokuba yi-'alcoholic ketoacidosis'.

Ziziphi iimpawu zokunyuka kwamanqanaba e-ketone? (Iimpawu ze-DKA)

Ukuba unesifo seswekile kwaye ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwigumbi likaxakeka elikufutshane (ETU). I-DKA inokuba yingozi kakhulu ngokukhawuleza, kwiiyure ezingama-24 okanye ngaphantsi.

Ujonga njani amanqanaba e-ketone emzimbeni?

Ukuba usengozini yokufumana i-DKA, ugqirha wakho unokucebisa ikhithi yokuvavanya i-ketone. Ungayifumana kwikhemesti. Kubalulekile ukuba nezi zinto ekhaya.

• Uvavanyo lwegazi: Kukho izixhobo onokuzenza ekhaya. Njengokujonga iswekile yakho yegazi, uhlaba ithontsi elincinci legazi ngomnwe wakho uze ulibeke kumcu wovavanyo uze ulifunde kwimitha. Oku kukunika ukufundwa ngokuchanekileyo kwamanqanaba akho e-ketone ngelo xesha. Ezinye ii-glucometers zinokujonga nee-ketones.
• Uvavanyo lomchamo: Oku kuquka ukuntywilisela umcu wovavanyo kumchamo wakho nokujonga utshintsho lombala. Nangona kunjalo, oku kukuxelela kuphela ukuba amanqanaba akho e-ketone ebenjani kwiiyure ezimbalwa ezidlulileyo, kungekhona ukuba anjani okwangoku.
• Uvavanyo lweBreathalyzer: Olu luselubuchwepheshe obutsha. Aluthembekanga kumntu osengozini yokufumana i-DKA. Ke ngoko, akufuneki lusetyenziswe ukulinganisa ii-ketones.

Amanqanaba e-ketone kufuneka ahlolwe nini?

Ukuba unesifo seswekile, ugqirha wakho uza kukuxelela ngale nto. Bahlala bekuxelela ukuba ujonge ii-ketones zakho kwezi meko zilandelayo:

• Ukuba uneempawu ze-DKA.
• Ukuba ugula ngumkhuhlane, umkhuhlane, okanye ube nengozi.
• Ukuba uphoswe yinaliti enye okanye ezingaphezulu ze-insulin.
• Ukuba inqanaba leswekile egazini lakho liphezulu kune-240 mg/dl.
• Ukuba ukhulelwe (ukulawula amanqanaba e-insulin ngexesha lokukhulelwa kunokuba nzima).

Ungawanyanga njani amanqanaba aphezulu ee-ketones emzimbeni?

Unyango luxhomekeke ekubeni amanqanaba akho e-ketone aphakame kangakanani.

Izinto onokuzenza ekhaya (kuphela ngengcebiso kagqirha)

Ugqirha wakho angakunika iingcebiso malunga nendlela yokulawula amazinga akho ekhaya ngaphambi kokuba abe phezulu ngendlela eyingozi. Ezi ngcebiso zingabandakanya:

• Ubungakanani be-insulin ekufuneka ithathwe.
• Ubungakanani bamanzi nokutya okuselayo.
• Nokuba kufanelekile na ukuzilolonga okanye akunjalo.
• Ufanele ujonge kangaphi amanqanaba eswekile kunye neeketone zakho?

Unyango lwesibhedlele

Ukuba amanqanaba e-ketone aphezulu kakhulu, kufuneka ulaliswe esibhedlele. Kulapho unyango lusetyenziswa kakhulu kwi-intravenous saline (IV fluids) kwaye i-insulin inikwa ukunciphisa i-acidity egazini nokubuyisela amanqanaba e-ketone kunye namanqanaba eswekile kwisimo esiqhelekileyo.

Ungayithintela njani i-DKA kwaye ugcine amanqanaba e-ketone ekhuselekile?

Ukuba usengozini ye-DKA, ukuthintela lolona khetho lufanelekileyo. Sebenzisana nogqirha wakho ukwenza oku.

• Gcina inkqubo efanelekileyo: Landela isicwangciso sokutya sikagqirha wakho kunye nenkqubo ye-insulin ngokuchanekileyo. Oku kuya kunceda ukulawula amanqanaba eswekile egazini lakho kwaye kunciphise umngcipheko wokuba neeketones.
• Qaphela amanqanaba akho: Yazi ukuba angakanani amanqanaba akho aqhelekileyo e-ketone, nini na ukuwajonga, kunye nento omawuyenze ukuba amanqanaba akho aphezulu.
• Lungela: Gcina izixhobo zovavanyo lwe-ketone ekhaya. Thetha nogqirha wakho kwaye wenze isicwangciso oza kusilandela ukuba amanqanaba akho e-ketone ayanyuka. Yazi kakuhle ukuba loluphi udidi oza kuthetha ngalo nogqirha wakho kunye noluphi udidi oza kulusebenzisa kwi-ETU.

Uninzi lwexesha, ii-ketones ziluncedo oluthuleyo emizimbeni yethu. Kodwa ukuba unesifo seswekile, ukuzazi nokulawula umngcipheko wakho kunokunceda ekusindiseni ubomi bakho.