Ngezinye izikhathi sizizwa singakhululekile ngephunga eliphuma emlonyeni wethu. Kuvamile. Kungenzeka uma udla ukudla okubabayo njengo-anyanisi noma igalikhi, noma uma ungaxubhi amazinyo akho kahle. Kodwa-ke, uma umoya wakho unuka iphunga elimnandi, njenge-nail polish remover, khona-ke akuvamile. Lokhu kungaba uphawu lwenkinga enkulu yempilo. Yilokho esikhuluma ngakho namuhla.
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Kungani umoya wami unuka njenge-acetone?
Kalula nje, uma umoya wakho unuka kanje, kusho ukuthi amazinga akho amakhemikhali abizwa ngokuthi ama-ketone egazini aphakeme. Ungesabi igama elithi "ketones." Masikwenze kube lula.
Amaseli omzimba wethu adinga amandla ukuze asebenze. Lawa mandla avela kushukela obizwa ngokuthi i-glucose ekudleni esikudlayo. Kufana nophethiloli wemoto. Kodwa-ke, uma ngasizathu simbe amaseli ethu engakwazi ukusebenzisa le glucose, umzimba uthola enye indlela. Lokho ukushisa amafutha agcinwe emzimbeni ukuze ukhiqize amandla .
Cabanga ngakho njengokuzama ukuqhuba imoto ngento efana ne-parafini uma iphelelwa uphethiloli. Imoto iyagijima, kodwa ayilungele injini futhi iyabhema. Ngokufanayo, lapho umzimba ushisa amafutha, lawa ma-acid abizwa ngokuthi ama-ketone ayengezwa egazini njengomkhiqizo ophumayo. Lapho la mazinga e-ketone ephakama kakhulu, umoya wakho uqala ukunuka njenge-acetone noma isithelo.
Uyini ubudlelwano phakathi kwesifo sikashukela kanye nokuphefumula kwe-acetone?
Lesi simo esibizwa ngokuthi i-acetone breath sihlotshaniswa kakhulu nesifo sikashukela, ikakhulukazi kubantu abanesifo sikashukela sohlobo 1 .
Isifo sikashukela yisimo lapho izinga likashukela egazini likhuphuka ngaphezu kwezinga elijwayelekile. Ngokuvamile, i-hormone i-insulin, ekhiqizwa yi-pancreas yethu, isebenza njengesihluthulelo esivula umnyango wokuvumela ushukela ungene emangqamuzaneni ethu. Kumuntu onesifo sikashukela, umzimba ukhiqiza i-insulin encane noma awukhiqizi nhlobo. Noma, umzimba awukwazi ukusebenzisa i-insulin oyikhiqizayo ngendlela efanele.
Ngakho-ke, kwenzekani uma ungenayo i-insulin? I-glucose ayikwazi ukungena emaseli. Imane inqwabelana egazini. Kodwa amaseli awanawo amandla. Njengokupheka ekhaya.Kufana nokuthi umnyango wekhishi ukhiyiwe uma ugcwele, futhi umndeni kufanele ulambe.
Yilapho umzimba uqala ukushisa amafutha ukuze uthole amandla, njengoba kushiwo ngaphambili. Bese izinga lama-ketone egazini likhuphuka ngendlela eyingozi. Lesi simo sisibiza ngokuthi i-Diabetic Ketoacidosis (DKA) . Lesi yisimo esiphuthumayo sezokwelapha esibucayi kakhulu, esisongela impilo.
Esinye sezibonakaliso eziyinhloko neziqalayo ze-DKA yilo moya onuka njengezithelo. Lesi ngesinye sezibonakaliso zokuqala odokotela abazibhekayo uma besola i-DKA.
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Check Availability →Yiziphi ezinye izimpawu ze-DKA?
Ngaphezu kokuphefumula kwe-acetone, kunezinye izimpawu eziningana ze-DKA. Lezi zingavela ngokushesha kakhulu, ngezinye izikhathi zingakapheli amahora angama-24. Zingaba phakathi kwezimpawu zokuqala umuntu osanda kutholakala ukuthi unesifo sikashukela abhekana nazo.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ukoma okukhulu kanye nokuchama njalo | Umzimba uzama ukukhipha ushukela omningi egazini ngezinso emchameni. Ngesikhathi esifanayo, inani elikhulu lamanzi liyakhishwa emzimbeni, okubangela ukoma okukhulu. |
| Isicanucanu nokuhlanza | Amazinga aphezulu ama-ketone egazini angabangela ukucasuka kwesisu, isicanucanu kanye nokuhlanza. |
| Ukukhathala nobuthakathaka | Umzimba uzizwa ukhathele kakhulu futhi ubuthakathaka ngoba amangqamuzana awatholi amandla (i-glucose) awadingayo. |
| Ubunzima bokuphefumula | Uma i-asidi egazini (ngenxa yama-ketone) ikhuphuka, umzimba uzama ukuyilawula ngokuphefumula ngokushesha nangokukhipha i-carbon dioxide. |
| Ukudideka | Lesi simo sithinta ukusebenza kobuchopho, okungaholela ekunciphiseni ukuqwashisa nokudideka. |
| Ukwehla kwesisindo ngokuzumayo | Ngenxa yokuthi umzimba ushisa amafutha ukuze uthole amandla, ukwehla kwesisindo kungenzeka ngokushesha (ikakhulukazi kusifo sikashukela sohlobo 1 esisanda kutholakala). |
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Lena yingxenye ebaluleke kakhulu .
- Uma unesifo sikashukela futhi umoya wakho unuka njenge-acetone, okokuqala, landela uhlelo lokwelashwa olunikezwe udokotela wakho ngqo. Lokho kusho ukuthatha imijovo ye-insulin kanye nemithi ngesikhathi.
- Uma ulandela ukwelashwa ngendlela efanele, kodwa amazinga akho e-ketone (alinganiswa ngemichilo yokuhlola) emaphakathi noma aphezulu, shayela udokotela wakho ngokushesha.
- Ngisho noma ungenaso isifo sikashukela, uma ukhathazekile ngaleli phunga eliqhubekayo le-acetone, qiniseka ukuthi ubona udokotela.
I-DKA iyisimo esiphuthumayo sezokwelapha. Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, hamba uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha.
* Uma unezimpawu ezingaphezu kweyodwa ze-DKA ezishiwo ngenhla.
* Uma ungakwazi ukuxhumana nodokotela wakho.
* Uma izinga likashukela egazini lakho liphakeme njalo ngaphezu kuka-300 mg/dL.
Sicela ungasithathi kalula lesi simo. Ukwelashwa okusheshayo kungasindisa impilo.
Zikhona yini ezinye izimbangela zokuphefumula kwe-acetone ngaphandle kwesifo sikashukela?
Yebo. Nakuba isifo sikashukela siyimbangela eyinhloko, lesi simo singase sivele ngenxa yezinye izizathu eziningana.
| Isizathu | Incazelo |
|---|---|
| Ukudla kwe-Keto nokuzila ukudla | Ukudla kwe-keto kuwukudla okunamafutha amaningi, okunamaphrotheni aphakathi nendawo, kanye nokudla okunama-carbohydrate aphansi kakhulu. Kuphoqa umzimba ukuthi ushise amafutha ukuze uthole amandla. Lokhu kwenzeka futhi uma uzila ukudla isikhathi eside. Lokhu kungabangela amazinga e-ketone egazini ukuthi akhuphuke, okungabangela iphunga lezithelo emoyeni wakho. |
| I-Alcoholic Ketoacidosis | Ama-ketone angaba phezulu kakhulu egazini labantu abaphuza utshwala obuningi, abangadli kahle, nabahlanzayo. Lesi futhi yisimo esibi kakhulu. Izimpawu ezifana nokuhlanza nobuhlungu besisu zingadidaniswa nezinye izimo zezokwelapha. Kodwa ukwelashwa okusheshayo kubalulekile. |
Umlayezo Wokuya Nawe Ekhaya
- Uma umoya wakho unuka njenge-fruit noma i-nail polish remover (i-acetone breath), ungawushayi indiva njengomoya ovamile omubi.
- Lokhu kuvame ukuba uphawu oluyisixwayiso esinamandla se- diabetesic ketoacidosis (DKA), okuyinkinga enkulu yesifo sikashukela.
- Uma unesifo sikashukela futhi lo moya omubi uhambisana nezinye izimpawu ezifana nokoma kakhulu, ukuchama njalo, ukuhlanza, kanye nokukhathala okukhulu, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
- Ngaphezu kwesifo sikashukela, ukudla okune-keto noma ukuphuza utshwala ngokweqile nakho kungaba yizimbangela, kodwa kungakhathaliseki ukuthi imbangela iyini, kubalulekile ukubonisana nodokotela wakho ukuze uthole iseluleko .
- Lolu phawu luwumyalezo obalulekile ovela emzimbeni wakho noma womuntu omthandayo. Lulalele.
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