Ingabe ungumuntu onesifo sikashukela? Noma ingabe othile emndenini wakho noma kumngane wakho unesifo sikashukela? Kungenzeka ukuthi uke wezwa igama elithi 'ketones'. Kodwa ayini lawa ma-ketone? Kungani ebaluleke kangaka kumuntu onesifo sikashukela? Ake sixoxe ngalokhu namuhla ngendlela elula ongayiqonda. Ukwazi lokhu kahle kungasiza ekusindiseni impilo yakho.
Kalula nje, ayini ama-ketone?
Ama-ketone awuhlobo lwe-asidi ekhiqizwa yisibindi sethu. Wonke umuntu ukhiqiza inani elincane lama-ketone emizimbeni yakhe, kungakhathaliseki ukuthi unesifo sikashukela noma cha.
Ngakho-ke lezi zinto zenzeka kanjani? Imizimba yethu isebenzisa ushukela, noma i-glucose, njengomthombo wayo oyinhloko wamandla. I-hormone ebizwa ngokuthi i-insulin ibalulekile ekuguquleni le glucose ibe amandla. Kodwa-ke, uma kungekho insulin eyanele emzimbeni, umzimba awukwazi ukusebenzisa i-glucose ukuze uthole amandla. Umzimba ube usufuna omunye umthombo wamandla. Lokho ngamafutha agcinwe emizimbeni yethu.
Uma umzimba uqala ukushisa amafutha ukuze uthole amandla, lawa ma-ketone akhiqizwa njengomkhiqizo ophumayo. Sibiza le nqubo ngokuthi i-ketosis . Lokhu ngokuvamile akuyona inkinga kumuntu ongenaso isifo sikashukela. Kodwa-ke, kumuntu onesifo sikashukela, ikakhulukazi uma ukulawulwa kwe-insulin kulahleka, la mazinga e-ketone angakhuphuka ngokungalawuleki. Uma izinga lama-ketone egazini liba phezulu ngendlela eyingozi, kungaholela esimeni esiphuthumayo esingathi sína, ngisho nesisongela ukuphila esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA) .
Ubani okufanele athathe ukuhlolwa kwe-ketone?
Uma unesifo sikashukela, kubaluleke kakhulu ukuqaphela ukuhlolwa kwe-ketone.
- Abantu abanesifo sikashukela sohlobo 1: Laba basengozini enkulu kakhulu. Esifweni sikashukela sohlobo 1, amasosha omzimba abhubhisa amaseli akhiqiza i-insulin kuma-pancreas. Ngaphandle kwe-insulin, amazinga kashukela egazini kanye namazinga e-ketone angakhuphuka kalula.
- Abantu abanesifo sikashukela sohlobo 2: Bangaba namazinga aphezulu e-ketone, kodwa akuvamile njengakusifo sikashukela sohlobo 1.
- Abantu abaphuza kakhulu: Abantu abaphuza kakhulu nsuku zonke futhi abangadli noma abangaphuzi kahle bangaba nesimo esibizwa ngokuthi i-alcohol ketoacidosis . Lesi futhi yisimo esiphuthumayo esidinga ukwelashwa ngokushesha.
Kufanele uhlole nini ama-ketone?
Uma unesifo sikashukela, udokotela wakho uzokweluleka ukuthi uhlole amazinga akho e-ketone ngezikhathi ezilandelayo:
- Uma izinga likashukela egazini lakho liphakeme kune -250 mg/dL izinsuku ezimbili zilandelana.
- Uma unesifo esifana nomkhuhlane, umkhuhlane, noma ukulimala.
- Uma uhlela ukuzivocavoca futhi izinga likashukela egazini lakho lingaphezu kuka-250 mg/dL ngaleso sikhathi.
- Uma ungakwazi ukuthola umjovo we-insulin onqunyiwe.
- Uma ukhulelwe (ikakhulukazi uma unesifo sikashukela sokukhulelwa).
- Uma uke wahlinzwa .
- Uma ungakwazi ukudla lutho.
- Uma usebenzisa iphampu ye-insulin bese iyeka ukusebenza.
Yiziphi izimpawu zamazinga aphezulu e-ketone egazini?
Uma uhlangabezana nezimpawu ezilandelayo, kuwukuhlakanipha ukwenza ukuhlolwa kwe-ketone ngokushesha. Lezi kungaba izimpawu zokuqala ze-DKA.
| Izimpawu zokuqala | Izimpawu zesimo esibucayi |
|---|---|
| Ukoma ngokweqile nomlomo owomile | Ukukhathala okukhulu nokukhathala |
| Ukuchama njalo | Isicanucanu, ukuhlanza, kanye nobuhlungu besisu |
| Umoya onuka izithelo | Ubunzima bokuphefumula |
| Ikhanda elibuhlungu | Ukubomvu kwesikhumba |
| Isikhumba esomile | Ukudideka (isifo sengqondo) |
Into ebaluleke kakhulu ukuhlola amazinga akho e-ketone njalo emahoreni angu-4-6 uma amazinga kashukela egazini lakho ephezulu noma uzizwa ugula.
Ungawahlola kanjani amazinga e-ketone?
Kunezindlela ezimbili eziyinhloko zokuhlola amazinga akho e-ketone, zombili ongazihlola ekhaya.
1. Ukuhlolwa Komchamo
Lena yindlela evame kakhulu futhi eshibhile kakhulu. Ungathenga imichilo yokuhlola yalokhu ekhemisi.
- Faka umchamo enkomishini ehlanzekile.
- Cwilisa umucu wokuhlola kuwo.
- Shukumisa kancane umucu bese ulinda isikhathi esichazwe emiyalweni uze ushintshe umbala.
- Qhathanisa umbala womugqa neshadi lombala olitholile ukuze uthole izinga lakho le-ketone.
2. Ukuhlolwa Kwegazi
Le ndlela inembe kakhulu kunokuhlola umchamo. Amanye amamitha eglucose egazini nawo anekhono lokuhlola ama-ketone.
- Geza futhi womise izandla zakho kahle.
- Faka umucu wokuhlola we-ketone kumitha.
- Hlaba umunwe wakho bese ubeka ithonsi legazi emgqeni wokuhlola.
- Funda umphumela oboniswe kumitha.
Ukuhlolwa kwegazi kukunikeza izinga lama-ketone egazini lakho ngaleso sikhathi, ngakho-ke kunembile kakhulu. Kodwa imichilo yokuhlola ibiza kakhulu. Buza udokotela wakho ukuthi iyiphi indlela engcono kakhulu kuwe.
Isho ukuthini imiphumela yami yokuhlolwa?
Kubaluleke kakhulu ukuqonda imiphumela yakho.
| Uhlobo lokuhlola | Umphumela | Okufanele ngikwenze |
|---|---|---|
| Ukuhlolwa Komchamo | ||
| Umchamo | Awekho ama-ketone (Awekho ama-ketone) | Okuvamile. |
| Ukulandelela / Okuncane | Ama-ketone aqala ukwakheka. Phuza amanzi amaningi. Hlola futhi emahoreni ambalwa. | |
| Okumaphakathi | Shayela udokotela wakho ngokushesha. | |
| Okuphezulu/Okukhulu | Lesi yisimo esiphuthumayo! Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha. | |
| Ukuhlolwa Kwegazi | ||
| Igazi | Ngaphansi kuka-0.6 mmol/L | Okuvamile. |
| 0.6 - 1.5 mmol/L | Kuningi kakhulu. Landela imiyalelo kadokotela wakho. Hlola futhi. | |
| 1.6 - 2.9 mmol/L | Kukhona ingozi ye-DKA. Shayela udokotela wakho ngokushesha. | |
| Ngaphezu kuka-3.0 mmol/L | Ingozi enkulu kakhulu. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. | |
Indlela yokunciphisa amazinga e-ketone egazini?
Uma amazinga akho e-ketone ephakanyisiwe kancane, kunezinto ezimbalwa ongazenza. Kodwa khumbula, into ebaluleke kakhulu ukulandela uhlelo udokotela wakho akunike lona.
- Phuza amanzi amaningi: Lokhu kusiza ukukhipha ama-ketone emzimbeni.
- Hlola ushukela egazini njalo: Hlola njalo emahoreni angu-3-4.
- Ungazivivinyi: Uma kokubili ushukela wegazi lakho kanye nama-ketone kuphezulu, ukuzivocavoca kungenza isimo sibe sibi kakhulu.
- Cela iseluleko kudokotela wakho: Buza udokotela wakho ngenani le-insulin elidingekayo kanye nokudla okufanele ukudle ukuze welaphe amazinga aphezulu e-ketone.
Umlayezo Wokuya Nawe Ekhaya
- Ama-ketone ayisibonakaliso esibalulekile sesixwayiso kubantu abanesifo sikashukela, ikakhulukazi isifo sikashukela sohlobo 1.
- Amazinga aphezulu kakhulu ama-ketone egazini angabangela isimo esiphuthumayo esisongela ukuphila esibizwa ngokuthi i-DKA (Diabetic Ketoacidosis) .
- Hlola ama-ketone noma nini lapho izinga likashukela egazini lakho lingaphezu kuka-250 mg/dL, uma unesifo, noma noma nini lapho udokotela wakho ekweluleka.
- Qaphela izimpawu ezifana nephunga lezithelo emoyeni, ukoma ngokweqile, nokudideka.
- Uma amazinga akho e-ketone emaphakathi noma ephezulu , ungalibali bese ushayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Khuluma nodokotela wakho njalo mayelana nendlela yokulawula amazinga akho e-ketone bese udala uhlelo olucacile.
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