Ukuhlolwa komchamo weKetones

Ukuhlolwa komchamo we-ketone kukala inani lamaketoni emchameni.

Amakhemikhali we-urine ngokuvamile alinganiswa ngokuthi "ukuhlolwa kwendawo." Lokhu kutholakala kukhithi yokuhlola ongayithenga esitolo sezidakamizwa. Ikhithi iqukethe izinti ezigoqwe ngamakhemikhali asabela ngemizimba ye-ketone. I-dipstick ifakwe kwisampula yomchamo. Ukuguqulwa kombala kukhombisa ubukhona bamaketoni.

Lo mbhalo uchaza ukuhlolwa komchamo we-ketone okubandakanya ukuthumela umchamo oqoqiwe ebhodini.

Isampula yomchamo wokubamba ehlanzekile iyadingeka. Indlela yokubamba ehlanzekile isetshenziselwa ukuvimbela amagciwane avela endondeni noma esithweni sangasese ekungeneni kusampula yomchamo. Ukuqoqa umchamo wakho, umhlinzeki wezokunakekelwa kwempilo angakunika ikhithi ekhethekile yokubamba ehlanzekile equkethe isisombululo sokuhlanza kanye nokusula okuyinyumba. Landela imiyalo ngqo.

Kungadingeka ukuthi ulandele indlela yokudla ekhethekile. Umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha imithi ethile okwesikhashana engathinta ukuhlolwa.

Ukuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

Ukuhlolwa kwe-ketone kuvame ukwenziwa uma unesifo sikashukela sohlobo 1 futhi:

• Ushukela wegazi lakho ungaphezulu kwama-milligram angama-240 nge-deciliter ngayinye (mg / dL)
• Unesicanucanu noma uhlanza
• Unezinhlungu esiswini

Ukuhlolwa kwe-ketone nakho kungenziwa uma:

• Unesifo esifana ne-pneumonia, isifo senhliziyo, noma isifo sohlangothi
• Unesicanucanu noma uhlanza okungapheli
• Ukhulelwe

Umphumela wokuhlolwa ongemuhle uvamile.

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

Umphumela ongajwayelekile usho ukuthi unamaketoni emchameni wakho. Imiphumela imakwe ohlwini njengemincane, elinganiselayo, noma enkulu ngokulandelayo:

• Encane: 20 mg / dL
• Okumaphakathi: 30 kuya ku-40 mg / dL
• Okukhulu:> 80 mg / dL

Amakhemikhali ayakha lapho umzimba udinga ukuhlukanisa amafutha namafutha acid ukuze uwasebenzise njengophethiloli. Lokhu kungenzeka kakhulu uma umzimba ungawutholi ngokwanele ushukela noma ama-carbohydrate.

Lokhu kungabangelwa yi-ketoacidosis yesifo sikashukela (DKA). I-DKA yinkinga esongela impilo ethinta abantu abanesifo sikashukela. Kwenzeka lapho umzimba ungakwazi ukusebenzisa ushukela (i-glucose) njengomthombo kaphethiloli ngoba ayikho i-insulin noma i-insulin enganele. Amafutha asetshenziselwa uphethiloli esikhundleni.

Umphumela ongajwayelekile futhi ungaba ngenxa yalokhu:

• Ukuzila ukudla noma indlala: njenge-anorexia (inkinga yokudla)
• Amaprotheni aphezulu noma ukudla okuphansi kwe-carbohydrate
• Ukuhlanza isikhathi eside (njengesikhathi sokukhulelwa kwasekuqaleni)
• Izifo ezinzima noma ezinzima, njenge-sepsis noma ukusha
• Imfiva ephezulu
• Indlala yegilo eyenza i-hormone yegilo eningi kakhulu (i-hyperthyroidism)
• Ukuncelisa ingane, uma umama wayo engadli futhi engaphuzi ngokwanele

Azikho izingozi ngalokhu kuhlolwa.

Imizimba ye-ketone - umchamo; Amaketoni omchamo; I-Ketoacidosis - ukuhlolwa kwamaketoni womchamo; I-ketoacidosis yesifo sikashukela - ukuhlolwa kwamaketoni omchamo

UMurphy M, uSrivastava R, uDeans K. Ukuxilongwa nokuqapha isifo sikashukela. Ku: Murphy M, Srivastava R, Deans K, abahleli. I-Clinical Biochemistry: Umbhalo Onemidwebo Onemifanekiso. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 32.

Amasaka DB. Isifo sikashukela. Ku: Tifai N, ed. I-Tietz Textbook ye-Clinical Chemistry kanye ne-Molecular Diagnostics. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2018: isahluko 57.