Wake wezwa igama elithi 'Ketones'? Mhlawumbe unesifo sikashukela, noma uma ungumuntu olandela 'i-Keto diet' edumile kulezi zinsuku, cishe uzwa leli gama kakhulu. Ayini ngempela lawa ma-ketone? Kungani ephuma emchameni wethu? Ingabe lokhu kuvamile, noma kuyinto okufanele sikhathazeke ngayo? Ake sithole ukuthi konke lokhu kumayelana nani namuhla.
Kalula nje, ayini ama-ketone?
Cabanga ngemizimba yethu njengemoto. Uphethiloli oyinhloko wale moto ukuthi isebenze 'yiGlucose', okungushukela nje. Umzimba wethu uthola le glucose ekudleni esikudlayo okuqukethe ama-carbohydrate, njengelayisi, isinkwa, namazambane.
Kodwa, kwenzekani uma ngesizathu esithile umzimba ungakwazi ukusebenzisa lo mafutha kashukela? Njengoba nje imoto ishintsha ukuze igcine lapho iphelelwa uphethiloli, umzimba wethu ushintshela komunye umthombo kaphethiloli. Okungukuthi, amafutha agcinwe emzimbeni .
Ngakho-ke, lapho umzimba uqala ukushisa amafutha ukuze uthole amandla, amakhemikhali akhiqizwa njengomkhiqizo olandela leyo nqubo abizwa ngokuthi ama-ketone . Empeleni awuhlobo lwe-asidi. Njengeminye imikhiqizo ekhishwa ngumzimba, lawa ma-ketone agcina ephuma emzimbeni emchameni wethu (umchamo). Ngezinye izikhathi angatholakala nasegazini. Ukuba khona kwama-ketone emchameni yilokho esikubiza ngokuthi 'i-ketonuria' ngokwezokwelapha.
Into ebalulekile ukuthi kuyinto evamile ukuba nama-ketone amancane kakhulu (inani elincane) emchameni wakho. Kuyinto evamile ukukhiqiza ama-ketone amancane uma silele, sizila ukudla, noma sidla ukudla okunama-carbohydrate aphansi ngoba imizimba yethu isebenzisa amafutha ngale ndlela.
Kodwa inkinga iwukuthi uma lawa ma-ketone eba phezulu kakhulu . Khona-ke angaba yingozi emizimbeni yethu. Lokhu kubangela ukuthi igazi lethu libe ne-asidi kakhulu. Lesi simo sibizwa ngokuthi yi-ketoacidosis eyingozi. Lokhu kuthinta kakhulu abantu abanesifo sikashukela, futhi kubizwa ngokuthi yi-Diabetic Ketoacidosis (DKA) . Lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo .
Ulinganisa kanjani amazinga e-ketone emchameni?
Kunezindlela ezimbili eziyinhloko zokuhlola ama-ketones emchameni.
| Indlela yokuhlola | Kwenzeka kanjani |
|---|---|
| Ukuhlolwa kwasekhaya | Ungathenga imichilo yokuhlola i-ketone ekhemisi. Uthatha inani elincane lomchamo esitsheni esihlanzekile, ucwilise umchilo kuwo, bese uwushiya isikhashana. Bese ushintsha umbala. Ungaqhathanisa ishadi lombala ebhokisini ukuze ubone ukuthi izinga lakho le-ketone "alilungile," "alilungile," "lincane," "liphakathi nendawo," noma "likhulu." Lokhu kuvame ukusetshenziswa ngabantu abanesifo sikashukela kanye nalabo abadla ukudla kwe-keto. |
| Ukuhlolwa kwezokwelapha | Udokotela angalinganisa amazinga e-ketone ngokuhlola umchamo okulula. Kodwa-ke, uma kusolwa ukuthi i-ketoacidosis ikhona, udokotela uvame uku-oda ukuhlolwa kwegazi nge-ketone . Lokhu kunembe kakhulu kunokuhlolwa komchamo ngoba ukuhlolwa kwegazi kukhombisa izinga eliqondile lama-ketone emzimbeni ngaleso sikhathi. |
Kungani kuvela ama-ketone emchameni wethu?
Njengoba sixoxile ngaphambili, ama-ketone akhiqizwa noma nini lapho umzimba wethu uphoqeleka ukushisa amafutha ukuze uthole amandla. Kunezizathu ezimbalwa eziyinhloko zalokhu:
- Isifo Sikashukela: Umuntu onesifo sikashukela akakhiqizi i-insulin eyanele, noma i-insulin ayikhiqizayo ayisebenzi kahle. Ngaphandle kwe-insulin, i-glucose ayikwazi ukungena emangqamuzaneni. Lokhu kubangela ukuthi amazinga kashukela egazini akhuphuke. Futhi, umzimba uqala ukushisa amafutha ngoba awunayo enye indlela yokuthola amandla. Uma amazinga e-insulin ehlala ephansi, ama-ketone anganqwabelana ngobuningi obukhulu, okuholela esimweni esisongela impilo esibizwa ngokuthi i-diabetesic ketoacidosis (DKA) .
- Ukuphuza utshwala ngokweqile: Uma uphuza utshwala ngokweqile isikhathi eside, umzimba wakho awukwazi ukumunca kahle izakhamzimba nokugcina i-glucose (njenge-glycogen). Lokhu kungabangela umzimba wakho ukuthi ushise amafutha, okuholela esimweni esiyingozi esibizwa ngokuthi i-ketoacidosis ehlobene notshwala .
- Ukukhulelwa: Isifo sikashukela sokukhulelwa singabangela ama-ketone emchameni. Ngaphandle kwalokho, ama-ketone angavela ngesikhathi sokukhulelwa ngenxa yezinye izizathu ezishiwo kulesi sihloko.
- Ukuhlanza noma uhudo isikhathi eside: Uma uqhubeka nokuhlanza noma uhudo, izinga likashukela emzimbeni wakho liyaphela bese umzimba wakho uqala ukushisa amafutha ukuze uthole amandla.
- Izinkinga zokudla nokuzila ukudla: Izinkinga zokudla ezifana ne-anorexia noma ukuzila ukudla isikhathi eside zingabangela ukuthi umzimba ungatholi ama-carbohydrate anele futhi kwandise ukukhiqizwa kwe-ketone.
- Ukuzivocavoca okunamandla nokunamandla: Ngesikhathi sokuzivocavoca okunzima kakhulu nokuthatha isikhathi eside, lapho i-glucose egciniwe emzimbeni (i-glycogen) isiphelile, umzimba uqala ukushisa amafutha ukuze uthole amandla.
Ingabe umuntu ongenaso isifo sikashukela angaba nama-ketone emchameni wakhe?
Yebo, kungenzeka. Kujwayelekile ukuthi umuntu ongenaso isifo sikashukela abe nezinga "elincane" noma "elincane" lama-ketone emchameni wakhe. Lokhu kungenzeka ngesikhathi sokuhlolwa komchamo lapho sivuka ekuseni sihambahamba.
Kodwa uma ungenaso isifo sikashukela futhi ukuhlolwa komchamo wakho kubonisa amazinga e-ketone aphakathi noma amakhulu, ungakushayi indiva. Kungaba uphawu lwesifo sikashukela esingakatholakali noma esinye isimo esibucayi. Esimweni esinjalo, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ziyini amazinga e-ketone emzimbeni kanye nezimpawu zawo?
Izimpawu ziyahlukahluka kuye ngokuthi inani lama-ketones lingakanani emchameni. Ake sikuqonde kahle lokhu.
| Isimo | Izimpawu ezivamile |
|---|---|
| I-Ketosis (Ngokuvamile amazinga e-ketone aphansi) | Lokhu akuvamile ukuba yingozi. Abantu abadla ukudla okune-keto bangase babe nalezi zimpawu.
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| I-Ketoacidosis (Amazinga aphezulu e-ketone - kudingeka usizo oluphuthumayo lwezokwelapha! ) | Izimpawu zokuqala:
Izimpawu ezinkulu kamuva:
|
Uma wena noma othile omaziyo, ikakhulukazi umuntu onesifo sikashukela, enesinye noma ngaphezulu salezi zimpawu ezinkulu ze- ketoacidosis , myise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Iyini izinga le-ketone eliyingozi kumuntu onesifo sikashukela?
Kumuntu onesifo sikashukela, noma yiliphi izinga le-ketone elingaphezu kwamazinga "okulandelwa" kungaba uphawu oluyisixwayiso.
- Izinga "elincane": Lokhu kubonisa ukuthi usengozini enkulu yokuthola i-ketoacidosis. Uma izinga likashukela egazini lakho nalo lingaphezu kuka-250 mg/dL, shayela udokotela wakho wesifo sikashukela ukuze akunike iseluleko.
- Izinga "Elimaphakathi" noma "Elikhulu": Lokhu kubonisa ukuthi usengozini enkulu kakhulu yokuthola i-ketoacidosis. Yiya esibhedlela ngokushesha ukuze uthole usizo lwezokwelapha.
Nakuba ama-ketone engeyingozi ngamanani amancane, angaba yingozi empilweni ngamanani aphezulu. Uma usengozini ye-ketoacidosis, khuluma nodokotela wakho ngendlela yokuyiphatha. Ungasiza ekuqinisekiseni ukuphepha kwakho ngokwenza uhlelo lokuthi yini okufanele uyenze uma amazinga akho e-ketone eba phezulu.
Umlayezo Wokuya Nawe Ekhaya
- Ama-ketones angumkhiqizo ophuma emzimbeni oshisa amafutha ukuze uthole amandla.
- Kungaba yinto evamile ukuba nama-ketone amancane kakhulu emchameni wakho.
- Kodwa-ke, amazinga aphezulu e-ketone, ikakhulukazi kubantu abanesifo sikashukela, ayingozi kakhulu. Lesi simo sibizwa ngokuthi i-ketoacidosis futhi sidinga ukwelashwa okuphuthumayo.
- Qaphela izimpawu ze-ketoacidosis, njengesicanucanu, ukuhlanza, ubuhlungu besisu, iphunga lokuphefumula elinjengezithelo, kanye nokudideka.
- Uma unesifo sikashukela futhi amazinga akho e-ketone emchameni emaphakathi noma aphezulu, noma unezimpawu ezingenhla, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Khuluma nodokotela wakho ngaso sonke isikhathi nganoma yiziphi izinkinga zempilo.
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