Uma uya kudokotela ngesikhathi sokukhulelwa, uthola ukuhlolwa komchamo, akunjalo? Ngezinye izikhathi udokotela angase athi kukhona into ebizwa ngokuthi ' ama-ketone ' emchameni wakho. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa lokho. Omama abaningi bacabanga ukuthi lokhu kuyisibonakaliso sesifo esibi. Kodwa ungesabi. Esikhathini esiningi, lokhu kuyinto engalawulwa. Namuhla, sizokhuluma ngalokhu ngamazwi alula, ukuthi kungani ama-ketone evela emchameni ngesikhathi sokukhulelwa, ukuthi kuthinta ingane, nokuthi yini okufanele siyenze.
Kalula nje, ayini ama-ketone?
Cabanga ngemizimba yethu njengemoto. Uphethiloli oyinhloko le moto ewudingayo ukuze isebenze yi -glucose , noma ushukela njengoba siwazi. Umzimba uthola lo phethiloli we-glucose ekudleni kwama-carbohydrate esikudlayo, njengelayisi, isinkwa, namazambane.
Kodwa-ke, uma ngesizathu esithile umzimba ungakwazi ukusebenzisa i-glucose, okuyiwona uphethiloli wawo oyinhloko, umzimba ushintshela komunye umthombo waphethiloli njengesimo esiphuthumayo. Okungukuthi, amafutha agcinwe emzimbeni. Ngakho-ke lapho umzimba ushisa amafutha ukuze uthole amandla, amakhemikhali akhiqizwa njengomkhiqizo olandelayo yiwo esiwabiza ngokuthi ama-ketone. Lawa ma-ketone akhishwa emchameni ngezinso. Lesi simo sokuba nama-ketone emchameni sibizwa ngokuthi i-ketonuria ngokwezokwelapha.
Yiziphi izimbangela eziyinhloko zama-ketones ngesikhathi sokukhulelwa?
Kunezizathu eziningana zokuthi kungani ama-ketone angavela emchameni ngesikhathi sokukhulelwa. Ezinye zazo zivamile, kanti ezinye kufanele zikhathazeke.
1. Isifo Sikashukela Sokukhulelwa
Lesi yisona sizathu esiyinhloko sokwakheka kwama-ketone futhi yisona esisinaka kakhulu.
Kwenzekani emzimbeni wakho ngesikhathi sokukhulelwaIzinguquko zama-hormone zingaphazamisa ukusebenza kwe-hormone ebizwa ngokuthi i-insulin emzimbeni. I-insulin ifana nesihluthulelo esisiza i-glucose (ushukela) egazini ukuthi ingene emaselini futhi yenze amandla. Uma lesi sihluthulelo singasebenzi kahle, i-glucose iqoqana egazini esikhundleni sokungena emaselini. Yilokhu esikubiza ngokuthi isifo sikashukela sokukhulelwa .
Ngakho-ke, njengoba amangqamuzana omzimba engenawo ushukela, aqala ukushisa amafutha ukuze athole amandla. Yilapho-ke ama-ketone ekhiwa khona futhi akhishwe emchameni. Ukuba nama-ketone emchameni wakho kuwuphawu lokuthi amazinga kashukela egazini lakho angase angalawuleki.
2. Ingabe abantu abangenaso isifo sikashukela bangaba nama-ketone?
Yebo, kunjalo impela. Isifo sikashukela akusona sodwa imbangela. Ama-ketone angabonakala nasemchameni ngenxa yezizathu ezilandelayo.
| Isizathu | Incazelo elula |
|---|---|
| Ukungadli ngokwanele | Uma ungadli amakhalori anele ukuhlangabezana nezidingo zamandla zakho nomntanakho, umzimba wakho uzosebenzisa amafutha ukuze uthole amandla. |
| Ukugula Kwasekuseni | Uma uhlanza kakhulu, umzimba wakho awukwazi ukumunca lokho okudlayo futhi ungaphelelwa amanzi emzimbeni. Zombili lezi zinto zingaholela ekwakhekeni kwama-ketone. |
| Ukungadli ukudla noma ukuzila ukudla | Amazinga kashukela egazini ehla ngemva kwamahora amaningana okuzila ukudla. Ama-ketone angabonakala emchameni ekuseni, ikakhulukazi ngenxa yesikhathi eside phakathi kwesidlo sakusihlwa nesasekuseni. |
| Ukuvivinya umzimba ngokweqile | Uma uvivinya umzimba ngaphezu kwalokho umzimba wakho ongakuthwala, i-glucose yakho izophela ngokushesha futhi umzimba wakho uzoqala ukushisa amafutha. |
| Ukudla okunama-carbohydrate aphansi | Uma unciphisa ukudla okunesitashi njengelayisi nesinkwa, umzimba wakho uzolahlekelwa uphethiloli wawo oyinhloko futhi ukhiqize ama-ketone. |
Ingabe ukuba nama-ketone kuyingozi enganeni?
Lokhu kwesaba okukhulu komama abaningi. Eqinisweni, ama-ketone adlula nge -placenta aye enganeni. Ngakho-ke , uma ama-ketone ekhona emzimbeni ezingeni eliphezulu , kukholelwa ukuthi angaba nomthelela ekukhuleni kobuchopho bomntwana.
Kodwa-ke, into ebalulekile okufanele uyiqonde lapha ukuthi ngezinye izikhathi ukuba nenani elincane lomchamo wakho, futhi kungabi nezinye izimpawu, ngokuvamile akuyona imbangela yokukhathazeka. Esikhathini esiningi, kwenzeka ngemva kokudla ebusuku bese ulinda kuze kube sekuseni. Kodwa-ke, udokotela wakho uzokuqapha lokhu futhi akunike iseluleko esidingekayo.
Yiziphi izimpawu ezingabonisa ukuthi unama-ketones emzimbeni?
Esikhathini esiningi, ungase ungabi nazimpawu noma ngabe une-ketone emchameni wakho. Yingakho imitholampilo ivame ukuhlola umchamo wakho. Kodwa-ke, ngezinye izikhathi ama-ketone angabonakala ngezinto ezifana nalezi:
- Amazinga kashukela egazini akhuphukile.
- Ukuzizwa womile kakhulu, kungakhathaliseki ukuthi uphuza amanzi angakanani.
- Ukuzizwa ukhathele kakhulu futhi ukhathele.
- Ukutheleleka okuvamile kwesitho sangasese sowesifazane noma kwendlela yomchamo.
Isimo esidinga ukunakekelwa okuphuthumayo – i-DKA
Uma unesifo sikashukela noma isifo sikashukela sokukhulelwa, udinga ukuqaphela isimo esiyingozi esibizwa ngokuthi i-diabetic ketoacidosis (DKA) . Lokhu kwenzeka lapho amazinga kashukela egazini kanye ne-ketone eba phezulu kakhulu.
I-DKA iyisimo esiphuthumayo sezokwelapha esisongela impilo . Uma unalezi zimpawu, kufanele uye ngokushesha emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) .
- Amazinga kashukela aphezulu kakhulu egazini.
- Ukoma okungapheli.
- Umbono ofiphele.
- Umchamo omningi ovamile.
- Ukulala ngokweqile kanye nokucasuka.
- Iphunga elifana nezithelo emoyeni.
Lesi simo asivamile kakhulu ngesikhathi sokukhulelwa, kodwa singaba khona uma isifo sikashukela singalawulwa.
Ungalawula futhi uvimbele kanjani amazinga e-ketone?
Ukwelashwa kuncike embangela. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu.
- Uma unesifo sikashukela: Kuzodingeka ushintshe indlela odla ngayo ukuze ulawule amazinga kashukela egazini lakho. Kungase kudingeke futhi ukuthi uthathe imijovo ye-insulin.
- Uma ukuhlanza kuyimbangela: Kuzodingeka uthathe imithi yokulawula ukuhlanza noma, uma kudingeka, ulaliswe esibhedlela bese unikezwa usawoti (i-IV fluids).
- Uma kungenxa yokudla okunganele: Khulisa inani lokudla bese weluleka abantu ukuba badle ukudla okunomsoco.
Lezi zinto ngokuvamile zisiza ukugcina amazinga e-ketone ezingeni elifanele :
- Ungalokothi weqe ukudla. Ikakhulukazi ngesikhathi sokukhulelwa, ungadli ukudla okunempilo.
- Phuza amanzi amaningi kanye noketshezi. Kubaluleke kakhulu ukugwema ukuphelelwa amanzi emzimbeni.
- Yidla ukudla okuyinhloko okuthathu kanye nokudla okulula okuthathu ngosuku.
- Ukudla into encane, njenge-yogurt, ingilazi yobisi, noma izithelo , ngaphambi kokulala ebusuku kungasiza ekunciphiseni amazinga e-ketone ekuseni.
- Faka ibhalansi yamaprotheni (amaqanda, inyama, inhlanzi, ubhontshisi, ubhontshisi) kanye nama-carbohydrate (irayisi, ubhontshisi, i-oats, isinkwa se-bran) ekudleni ngakunye.
- Zivocavoce nsuku zonke.
Kufanele ushayele nini udokotela wakho ucingo?
Uma usuvele wazi ukuthi unama-ketone emchameni wakho futhi unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, yazisa udokotela wakho ngokushesha.
- Imfiva.
- Ukuhlanza noma uhudo.
- Uma unesifo sikashukela, izinga likashukela egazini lakho lingakhuphuka ngaphezu kwamazinga ajwayelekile ngaphandle kwesizathu esibonakalayo.
- Amazinga e-ketone yomchamo abonakala “emaphakathi” noma “emakhulu” uma ehlolwa ekhaya.
Umlayezo Wokuya Nawe Ekhaya
- Ama-ketone akhiqizwa emchameni ngoba umzimba ushisa amafutha ukuze uthole amandla uma ungatholi i-glucose eyanele (ushukela).
- Lokhu kuvame ukubonakala ngesikhathi sokukhulelwa ngenxa yokushintsha kokudla, ukucasuka ekuseni, noma isifo sikashukela sokukhulelwa .
- Ukuba nenani elincane lama-ketones ngezikhathi ezithile akuvamile ukuthi ukhathazeke ngakho, kodwa amazinga aphezulu ahlala ekhona adinga usizo lwezokwelapha.
- Ungalokothi weqe ukudla noma uzame ukwehlisa isisindo ngesikhathi sokukhulelwa. Phuza amanzi amaningi.
- Uma une-ketone emchameni wakho, landela njalo imiyalelo kadokotela wakho yokuyilawula. Kubalulekile ukuqonda isimo ngendlela efanele futhi ungesabi.
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