Ingabe unama-ketone emchameni wakho? Ake sixoxe ngalokhu!

Ungase ukhathazeke kancane uma uzwa ukuthi unama-ketone emchameni wakho, akunjalo? Kodwa ungakhathazeki. Ake sixoxe ngalokhu kalula nangokucacile. Ayini lawa ma-ketone? Kungani esemchameni wethu? Ake siqonde konke lokhu ngokuningiliziwe namuhla.

Ziyini lezi ketones emchameni?

Kalula nje, ama-ketone angumphumela wokungakwazi komzimba wakho ukusebenzisa ushukela, i-glucose, umzimba wakho oyisebenzisayo ukukhiqiza amandla. Kufana nokushisa izinkuni esitovini esivuthayo ngokhuni, ushiye umlotha. Lawa ma-ketone akhiqizwa lapho imizimba yethu iphula amafutha ukuze ibe namandla. Empeleni ayihlobo lwe-asidi. Njengeminye imikhiqizo yamakhemikhali emizimbeni yethu, ama-ketone agcina ephuma emizimbeni yethu emchameni wethu. Kodwa ngezinye izikhathi angatholakala nasegazini lethu. Ukuba nama-ketone emchameni wakho kwaziwa ngokwezokwelapha ngokuthi 'i-ketonuria.'

Manje cabanga ngakho, kuyinto evamile ukuba nama -ketone emchameni wakho, okungukuthi, inani elincane . Akukho okufanele ukhathazeke ngakho. Ngoba ngezinye izikhathi imizimba yethu kufanele isebenzise amafutha ukuze ithole amandla. Isibonelo, uma silele, uma sizila ukudla usuku lonke, noma uma sidla ukudla okunama-carbohydrate aphansi, okungukuthi, "i-Keto Diet" abantu abaningi abakhuluma ngayo.

Kodwa-ke, uma inani lama-ketone likhuphuka, kuyingozi . Ngoba-ke i-acidity yegazi lethu iyanda. Lesi simo sibizwa ngokuthi 'i-Ketoacidosis'. Lokhu kuyiqiniso ikakhulukazi kubantu abanesifo sikashukela, yingakho sibizwa ngokuthi 'i-Diabetes-related Ketoacidosis (DKA)'. Lesi simo esibizwa ngokuthi i-DKA siyisimo esiphuthumayo sezokwelapha esingasongela impilo , ngakho-ke uma usisola, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Ulinganisa kanjani ama-ketones emchameni?

Kulungile, sazi kanjani ukuthi kukhona ama-ketone kulo mchamo, futhi uma kunjalo, angakanani? Kunezindlela ezimbili eziyinhloko zokwenza lokhu.

Ukuhlolwa kwasekhaya

Ungathenga lawa ma-ketone test strips ekhemisi noma ku-inthanethi. Atholakala ngaphandle kwemithi kadokotela (OTC), okusho ukuthi awadingi incwadi kadokotela. Okumele ukwenze nje ukuqoqa umchamo wakho esitsheni esihlanzekile, ucwilise i-strip kuyo, uyishiye isikhathi esichazwe umenzi (ngokuvamile imizuzwana embalwa), bese uyikhipha. I-strip izoshintsha umbala. I-strip iza neshadi lombala. Udinga ukuqhathanisa umbala we-strip yakho neshadi lombala. Ngokuvamile ikhombisa amazinga akho e-ketone ngokuthi 'angemihle', 'ayimikhondo', 'amancane', 'aphakathi', noma 'amakhulu'. Lawa ma-strips avame ukusetshenziswa ngabantu abanesifo sikashukela kanye nalabo abaku-'Keto Diet'.

Ukuhlolwa kwezokwelapha

Ngezinye izikhathi udokotela wakho noma umhlengikazi angahlola amazinga akho e-ketone ngokuhlolwa komchamo, okubizwa ngokuthi i-urinalysis. Kodwa uma unezimpawu ze-ketoacidosis, udokotela wakho cishe uzoyala ukuhlolwa kwe-ketone egazini . Lokhu kuhlolwa kwegazi kunembe kakhulu kunokuhlolwa komchamo. Kuphinde kubonise inani eliqondile lama-ketone emzimbeni wakho ngaleso sikhathi. Ukuhlolwa kwegazi kuvame ukunikeza inani eliqondile esikhundleni sobubanzi.

Nakhu okunye okufanele ukuqonde. Kuthatha imizimba yethu isikhathi ukukhiqiza umchamo. Ngakho-ke ukuhlolwa komchamo ngeke kukunike isilinganiso esiqondile samazinga akho e-ketone ngokushesha. Kodwa-ke, kungakunikeza umbono oqondile wokuthi amazinga akho e-ketone abe njani emahoreni ambalwa edlule.

Kungani kuvela ama-ketone emchameni wethu?

Manje ake sibheke ukuthi kungani la ma-ketone evela emchameni wethu. Umzimba ukhetha kakhulu ukusebenzisa i-'glucose' noma ushukela ukuze unikeze amandla kuwo wonke amaseli emzimbeni wethu. Sithola le glucose kuma -carbohydrate esiwadlayo, okungukuthi, ukudla okunesitashi. Kodwa-ke, kwezinye izimo ezikhethekile, umzimba wethu uphoqeleka ukushisa amafutha (ngezinye izikhathi ngisho nemisipha) ukuze uthole amandla.

Uma ungatholi ama-carbohydrate anele , noma uma ungenayo i-hormone insulin eyanele, esiza umzimba wakho ukuthi usebenzise ushukela , umzimba wakho ungena esimweni esibizwa ngokuthi i-ketosis. Kulesi simo se-ketosis, umzimba ushisa amafutha ukuze uthole amandla, bese ama-ketone ekhishwa njengomkhiqizo ophumayo. Ekugcineni akhishwa emchameni.

Uma kwenzeka ama-ketones ngokuvamile

Ngisho nezinto ezilula njengokulala noma ukuzila ukudla usuku olulodwa noma ezimbili zingabangela umzimba ukuthi ungene esimweni "se-ketosis" futhi ukhiqize inani elincane lama-ketones emchameni. Lokhu kungabhekwa njengokujwayelekile nokunempilo.

Ngokufanayo, i-ketosis yenzeka uma ulandela 'ukudla kwe-Ketogenic' noma 'ukudla kwe-Keto' njengoba kwaziwa kakhulu ngabaningi. Lokhu kudla kwe-keto kunamafutha amaningi, amaprotheni aphakathi nendawo, futhi kuphansi kakhulu kuma-carbohydrate. Ukusho ngqo, ukudla kwe-keto okuvamile kungama-70% - 80% amafutha, amaprotheni angu-20%, kanye nama-carbohydrate angu-5% - 10%. Ama-Ketone avame ukubonakala emchameni wabantu abalandela ukudla kwe-keto okuqinile.

Izimbangela zamazinga aphezulu kakhulu e-ketone emchameni

Kodwa uma unenani elincane, eliphakathi, noma elikhulu lama-ketone emchameni wakho, kungaba yinto engavamile . Kunezizathu eziningana zalokhu:

• Isifo sikashukela:Sonke sidinga i-hormone ebizwa ngokuthi i-'Insulin' ukuze siphile futhi sisebenzise i-glucose ukuze sithole amandla. Uma unesifo sikashukela, umzimba wakho awukhiqizi i-insulin nhlobo, awukhiqizi ngokwanele, noma awukwazi ukusebenzisa i-insulin eyikhiqizayo ngendlela efanele. Lokhu kubangela ukuthi i-glucose iqongeleleke egazini, okuholela emazingeni aphezulu kashukela egazini. Ngesikhathi esifanayo, ngaphandle kwe-insulin, umzimba ungasebenzisa amafutha kuphela ukuze uthole amandla. Uma ukuntuleka kwe-insulin kuqhubeka, ama-ketone azoqongeleleka emzimbeni. Lokhu kungaholela esimweni esisongela ukuphila esibizwa ngokuthi i-'diabetic ketoacidosis (DKA)' okukhulunywe ngaso ngaphambili.

Cabanga nje, uma umuntu onesifo sikashukela engayithathi kahle imithi yakhe futhi engayijovi i-insulin, amazinga kashukela egazini lakhe angaphuma ekulawuleni ezinsukwini ezimbalwa, okuholela esimweni esiyingozi njengalesi. Ngakho-ke, abantu abanesifo sikashukela kudingeka baqaphele kakhulu ngalokhu.

• Inkinga yokusebenzisa utshwala: Uma uphuza utshwala ngokweqile isikhathi eside, kungathinta indlela umzimba wakho omunca ngayo izakhamzimba ezifana nama-carbohydrate futhi ugcine i-glucose esibindini (njenge-glycogen). Lokhu kuphoqa umzimba wakho ukuthi ushise amafutha esikhundleni salokho, okungaholela esimweni esibizwa ngokuthi i-ketoacidosis ehlobene notshwala. Njenge-DKA, lokhu kungaba yisimo esisongela impilo.

• Ukukhulelwa: Imbangela eyinhloko yama-ketone emchameni ngesikhathi sokukhulelwa "yisifo sikashukela sokukhulelwa." Kodwa-ke, zonke ezinye izimbangela kulolu hlu nazo zingabangela ama-ketone ngesikhathi sokukhulelwa.

• Ukuhlanza isikhathi eside kanye/noma uhudo: Uma ubulokhu uhlanza noma uhudo isikhathi eside, umzimba wakho ungase uphelelwe ushukela ukuze uthole amandla futhi kungase kuvele ama-ketone emchameni wakho. Cabanga ngengane encane ehlushwa yisisu izinsuku eziningana futhi ehlala ehlanza futhi engadli. Yilokhu okungenzeka.

• Izinkinga zokudla kanye nendlala: Ezinye izinkinga zokudla, njenge-anorexia, kanye nokuzila ukudla isikhathi eside kunganciphisa inani lama-carbohydrate kanye ne-glucose umzimba wakho ongayimunca. Lokhu kungabangela nokuthi kuvele ama-ketone emchameni wakho.

• Ukuzivocavoca isikhathi eside nokuqina: Uma uvivinya umzimba isikhathi eside futhi ngamandla, uma yonke i-glucose egcinwe emzimbeni wakho (i-glycogen) isetshenziswa ukuze uthole amandla, umzimba wakho uzoqala ukushisa amafutha. Lokhu kungabangela nokuthi kuvele ama-ketone emchameni wakho.

Ingabe umuntu ongenaso isifo sikashukela angaba nama-ketone emchameni wakhe?

Yebo, ungaba nama-ketone 'amancane' noma 'amancane' emchameni wakho noma ungenaso isifo sikashukela.Kungaba yinto evamile ngezinye izikhathi, ikakhulukazi uma uzila ukudla noma ulandela ukudla kwe-keto. Kodwa-ke, akuvamile ukuthi umuntu ongenaso isifo sikashukela abe nama-ketone 'aphakathi' noma 'amakhulu' emchameni wakhe. Uma lokhu kwenzeka, shayela i-Suwaseriya Ambulance Service ka-1990 eSri Lanka ngokushesha, noma shayela inombolo yezimo eziphuthumayo endaweni yakini , noma uye ekamelweni lezimo eziphuthumayo eliseduze. Ungase ube nesifo sikashukela esingatholakali noma esinye isimo sezokwelapha esibucayi.

Yimaphi amazinga e-ketone ajwayelekile nayingozi emchameni?

Iyini izinga elijwayelekile le-ketone?

Kubhekwa njengokujwayelekile futhi kuphephile kubantu abaningi abaphilile ukuba nama-ketone 'amancane' emchameni wabo.

Kodwa-ke, uma unesifo sikashukela noma esinye isimo esikubeka engcupheni ye-ketoacidosis, ngisho naleli zinga lingaba uphawu oluyisixwayiso . Isibonelo, uma izinga likashukela egazini lakho lingaphezu kuka-250 mg/dL (ushukela ophezulu egazini), kubalulekile ukuqapha amazinga kashukela egazini lakho eduze futhi uqhubeke nokuhlola umchamo wakho ukuze uthole amazinga e-ketone akhuphukayo.

Iyini izinga le-ketone eliyingozi kumuntu onesifo sikashukela?

Noma yiliphi izinga le-ketone elingaphezu 'kokuncane' noma 'ukulandelela' lingaba yingozi, ikakhulukazi uma usengozini 'ye-ketoacidosis' (isib. isifo sikashukela).

• Uma unenani elincane lama-ketone emchameni wakho, kwandisa ingozi yakho ye-ketoacidosis. Uma unesifo sikashukela, khuluma nodokotela wakho wesifo sikashukela noma umhlinzeki wezempilo mayelana nendlela yokuphatha lesi simo.
• Uma unenani eliphakathi noma elikhulu lama-ketone emchameni wakho, usengozini enkulu yokuthola i-ketoacidosis. Lesi yisimo esiphuthumayo, ngakho funa usizo lwezokwelapha ngokushesha esibhedlela esiseduze nawe.

Kusho ukuthini ukuba nama-ketone 'alandelela' emchameni?

Izinga 'lokulandelana' lama-ketone emchameni ngokuvamile liyizinga eliphephile nelinempilo kubantu abangenaso isifo sikashukela. Iningi labantu lingaba nama-ketone amancane emchameni wabo, ikakhulukazi ekuseni.

Ingabe ukuba khona kwama-ketone emchameni kungabangela izimpawu?

Yebo, uma une-ketone emchameni wakho, ungase ubhekane nezinye izimpawu kuye ngokuthi zingakanani.

Izimpawu ze-Ketosis

Isimo "se-Ketosis," okuyilapho inani elincane lama-ketone livame ukuba khona emchameni (isb., lapho udla ukudla kwe-keto), kungabangela izimpawu ezinjengalezi kwabanye abantu:

• Ukuzizwa sengathi unesisu esibuhlungu, isicanucanu
• Ikhanda elibuhlungu
• Ukukhathala
• Inkungu yobuchopho, ubunzima bokugxilisa ingqondo
• Iphunga elihlukile elivela emlonyeni ('umoya we-keto')
• Ukuqunjelwa
• Ukungalali

Izimpawu ze-Ketoacidosis

Amazinga aphakathi noma aphezulu ama-ketone emchameni wakho asho ukuthi ungaba nesimo esibizwa ngokuthi i-'ketoacidosis' – esaziwa nangokuthi i-'DKA' noma i-'alcoholic ketoacidosis'. Lokhu kuyingozi kakhulu.

Izimpawu zokuqala ze-DKA zingafaka:

• Ukuchama njalo
• Ukoma ngokweqile, umlomo owomile (i-polydipsia)
• Indlala eningi (i-polyphagia)
• Ukuphelelwa amanzi emzimbeni
• Ikhanda elibuhlungu

Izimpawu ezibucayi kakhulu ze-DKA kanye ne-ketoacidosis yotshwala zingafaka:

• Isicanucanu nokuhlanza
• Ubuhlungu obukhulu besisu
• Uhudo
• Ubunzima bokuphefumula noma ukuphefumula okubizwa ngokuthi 'i-Kussmaul' (ukuphefumula okujulile, okusheshayo, nokunzima)
• Umoya onephunga elimnandi (iphunga le-acetone)
• Ukuzizwa ukhathele kakhulu noma ubuthakathaka
• Ukwehla kokuqwashisa, ukucasuka, noma ukudideka (isimo sengqondo esishintshile)
• Ukwehla kwamandla okuhlala uphapheme, ukozela

Uma unesinye noma ngaphezulu salezi zimpawu, zibheke njengesimo esiphuthumayo sezokwelapha bese ucela usizo lwezokwelapha ngokushesha, njengoba lokhu kungaba yingozi empilweni!

Izinto ezibaluleke kakhulu okudingeka uzikhumbule

Ama-ketone, ngamanani amancane, angaba yingxenye yenqubo evamile emizimbeni yethu. Kodwa-ke , uma ama-ketone eqoqana ngamanani amakhulu emzimbeni, kungaba yisimo esibi esingasongela impilo. Ikakhulukazi uma usengozini ye-'ketoacidosis', okungukuthi, uma unesifo esifana nesifo sikashukela, khuluma nodokotela wakho mayelana nendlela yokusiphatha kahle. Futhi, ukukhuluma ngalokho okufanele ukwenze uma amazinga akho e-ketone ekhuphuka kakhulu, nokuba nohlelo oluhle, kuzokusiza ekuvikeleni engozini. Kubaluleke kakhulu ukunakekela umzimba wakho njalo, impilo yakho, futhi uqaphele, uyaqonda?

Ama - Ketone, ama-ketone emchameni, i-ketoacidosis, i-DKA, isifo sikashukela, ukudla kwe-keto, ukuhlolwa komchamo