Ukuhlolwa kwegazi leKetones

Ukuhlolwa kwegazi le-ketone kukala inani lama-ketone egazini.

Ama-ketone nawo angalinganiswa ngokuhlolwa komchamo.

Kudingeka isampula yegazi.

Akukho ukulungiselela okudingekayo.

Lapho kufakwa inaliti ukuze kutholakale igazi, abanye abantu bezwa ubuhlungu obuncane. Abanye bazizwa behlatshwa noma betinyelwa. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Ama-ketone yizinto ezikhiqizwa esibindini lapho amangqamuzana amanoni ehla egazini. Lokhu kuhlolwa kusetshenziselwa ukuxilonga i-ketoacidosis. Le yinkinga esongela impilo ethinta abantu:

• Unesifo sikashukela. Kwenzeka lapho umzimba ungakwazi ukusebenzisa ushukela (i-glucose) njengomthombo kaphethiloli ngoba ayikho i-insulin noma i-insulin enganele. Amafutha asetshenziselwa uphethiloli esikhundleni. Lapho amafutha ephuka, imfucumfucu ebizwa ngokuthi ama-ketone ayakha emzimbeni.
• Phuza kakhulu utshwala.

Umphumela ojwayelekile wokuhlolwa awunalo. Lokhu kusho ukuthi awekho amaketoni egazini.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Umphumela wokuhlolwa uba muhle uma kutholakala amaketoni egazini. Lokhu kungakhombisa:

• I-ketoacidosis yotshwala
• I-ketoacidosis yesifo sikashukela
• Indlala
• I-glucose yegazi engalawulwa kubantu abanesifo sikashukela

Ezinye izizathu zitholakala egazini zifaka:

• Ukudla okune-carbohydrate eningi kungakhuphula amaketoni.
• Ngemuva kokuthola i-anesthesia yokuhlinzwa
• Isifo sokugcina i-Glycogen (isimo lapho umzimba ungeke ukwazi ukudiliza i-glycogen, uhlobo lukashukela olugcinwa esibindini nasemisipha)
• Ukuba ekudleni kwesisindo

Kunobungozi obuncane bokuthathwa kwegazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukudonsa igazi kwabanye abantu kungaba nzima ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Imizimba ye-Acetone; Amaketoni - i-serum; Ukuhlolwa kweNitroprusside; Imizimba ye-ketone - i-serum; Amaketoni - igazi; I-Ketoacidosis - ketones ukuhlolwa kwegazi; Isifo sikashukela - ukuhlolwa kwamaketoni; Ukuhlolwa kwe-Acidosis - ketones

• Ukuhlolwa kwegazi

IChernecky CC, iBerger BJ. Imizimba yeKetone. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier; 2013: 693.

UNadkarni P, Weinstock RS. Ama-carbohydrate. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 16.