Amaketoni aseGazini

-Delile

• Ayini amaketoni ekuhlolweni kwegazi?
• Kusetshenziselwa ini?
• Kungani ngidinga amaketoni ekuhlolweni kwegazi?
• Kwenzekani ngesikhathi samaketoni ekuhlolweni kwegazi?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngamaketoni ekuhlolweni kwegazi?
• Izinkomba

Ayini amaketoni ekuhlolweni kwegazi?

Amaketoni ekuhlolweni kwegazi alinganisa izinga lamaketoni egazini lakho. Ama-ketone yizinto ezenziwa ngumzimba wakho uma amaseli akho engayitholi i-glucose eyanele (ushukela wegazi). I-glucose ngumthombo oyinhloko wamandla omzimba wakho.

Amaketoni angabonakala egazini noma emchameni. Izinga eliphakeme le-ketone lingabonisa i-ketoacidosis yesifo sikashukela (i-DKA), inkinga yesifo sikashukela engaholela ekuqulekeni noma nasekufeni. Amaketoni ekuhlolweni kwegazi angakushukumisela ukuthi uthole ukwelashwa ngaphambi kokuthi kuvele isimo esiphuthumayo sezokwelapha.

Amanye amagama: Imizimba ye-Ketone (igazi), i-serum ketones, i-beta-hydroxybutyric acid, i-acetoacetate

Kusetshenziselwa ini?

Amaketoni ekuhlolweni kwegazi asetshenziselwa kakhulu ukuhlola isifo sikashukela ketoacidosis (DKA) kubantu abanesifo sikashukela. I-DKA ingathinta noma ngubani onesifo sikashukela, kepha ivame kakhulu kubantu abanesifo sikashukela sohlobo 1. Uma unesifo sikashukela sohlobo 1, umzimba wakho awenzi i-insulin, ihomoni elawula inani le-glucose egazini lakho. Abantu abanesifo sikashukela sohlobo lwe-2 bangenza i-insulin, kodwa imizimba yabo ayiyisebenzisi kahle.

Kungani ngidinga amaketoni ekuhlolweni kwegazi?

Ungadinga amaketoni ekuhlolweni kwegazi uma unesifo sikashukela nezimpawu ze-DKA. Izimpawu ze-DKA zifaka:

• Ukoma ngokweqile
• Ukwanda kokuchama
• Isicanucanu nokuhlanza
• Isikhumba esomile noma esikhanyisiwe
• Ukuphelelwa umoya
• Iphunga lezithelo ngokuphefumula
• Ukukhathala
• Ukudideka

Kwenzekani ngesikhathi samaketoni ekuhlolweni kwegazi?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ungase futhi ukwazi ukusebenzisa ikhi yasekhaya ukuhlola amaketoni egazini. Ngenkathi imiyalo ingahluka, ikiti lakho lizofaka uhlobo oluthile lwedivayisi ukuze uthinte umunwe wakho. Uzokusebenzisa lokhu ukuqoqa ithonsi legazi ukuze lihlolwe. Funda imiyalo yekithi ngokucophelela, bese ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uqiniseke ukuthi uqoqa futhi uhlola igazi lakho kahle.

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda amaketoni ekuhlolweni komchamo ngokungeziwe noma esikhundleni samaketoni ekuhlolweni kwegazi ukuhlola i-ketoacidosis yesifo sikashukela. Angafuna nokuhlola amazinga akho e-A1c namazinga eglucose egazini ukusiza ukuqapha isifo sakho sikashukela.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile ama-ketone ekuhlolweni kwegazi.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Umphumela ojwayelekile wokuhlolwa awunalo. Lokhu kusho ukuthi awekho amaketoni atholakele egazini lakho. Uma kutholakala amazinga e-ketone ephezulu egazi, kungasho ukuthi une-ketoacidosis yesifo sikashukela (DKA). Uma une-DKA, umhlinzeki wakho wokunakekelwa kwezempilo uzohlinzeka noma ancome ukwelashwa, okungabandakanya ukuya esibhedlela.

Ezinye izimo zingakwenza ukuthi uhlole ukuthi une-ketone yegazi. Lokhu kufaka phakathi:

• Ukuphazamiseka kokudla, ukungondleki kahle, nezinye izimo lapho umzimba ungathathi amakhalori anele
• Ukukhulelwa. Kwesinye isikhathi abesifazane abakhulelwe bayoba namaketanga egazi. Uma kutholakala amazinga aphezulu, kungasho ukuthi isifo sikashukela sokukhulelwa, uhlobo lwesifo sikashukela oluthinta kuphela abesifazane abakhulelwe.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngamaketoni ekuhlolweni kwegazi?

Abanye abantu basebenzisa amakhithi asekhaya ukuhlola ama-ketone uma ekudleni ketogenic noma "keto". Ukudla okune-keto luhlobo lohlelo lokwehlisa isisindo olwenza ukuthi umzimba womuntu ophilile wenze amaketoni. Qiniseka ukuthi ukhuluma nomhlinzeki wakho wezempilo ngaphambi kokuya ekudleni keto.

Izinkomba

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2. Isikhungo Sikashukela sikaJoslin [Inthanethi]. IBoston: Isikhungo Sikashukela saseJoslin; c2018. Ukuhlolwa kweKetone; [kucashunwe ngo-2020 Jan 1]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.joslin.org/patient-care/diabetes-education/diabetes-learning-center/ketone-testing-0
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6. National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Siyini isifo sikashukela ?; 2016 Nov [kucashunwe 2018 Jan 9]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
7. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2018. Isifo Sikashukela (DM) Ezinganeni Nasebusheni; [kucashunwe 2018 Jan 9]; [cishe izikrini ezi-2]. Kutholakala kusuka: http://www.merckmanuals.com/home/children-s-health-issues/hormonal-disorders-in-children/diabetes-mellitus-dm-in-children-and-adolescents
8. Ukudla kukaPaoli A. Ketogenic Wokukhuluphala: Umngane noma Isitha? I-Int J Environ Res Impilo Yomphakathi [i-Intanethi]. 2014 Feb 19 [kucashunwe 2018 Feb 22]; 11 (2): 2092-2107. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
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12. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Ukuhlolwa Kweglucose Legazi Lasekhaya: Kwenziwa Kanjani; [kubuyekezwe ngo-2017 Mar 13; kucashunwe 2018 Jan 9]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/home-blood-glucose-test/hw226531.html#hw226576
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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.