Amaketoni Emchameni
-Delile
- Ayini amaketoni esivivinyweni somchamo?
- Kusetshenziselwa ini?
- Kungani ngidinga amaketoni ekuhlolweni komchamo?
- Kwenzekani ngesikhathi samaketoni ekuhlolweni komchamo?
- Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
- Ingabe zikhona izingozi esivivinyweni?
- Isho ukuthini imiphumela?
- Ngabe kukhona okunye engidinga ukukwazi ngamaketoni ekuhlolweni komchamo?
- Izinkomba
Ayini amaketoni esivivinyweni somchamo?
Ukuhlolwa kukala amazinga we-ketone emchameni wakho. Ngokujwayelekile, umzimba wakho ushisa i-glucose (ushukela) ukuthola amandla. Uma amaseli akho engayitholi i-glucose eyanele, umzimba wakho ushisa amanoni ukuthola amandla esikhundleni salokho. Lokhu kukhiqiza into ebizwa ngamaketoni, engabonakala egazini lakho nasemchameni. Amazinga aphezulu e-ketone emchameni angakhombisa ukuthi isifo sikashukela ketoacidosis (DKA), inkinga yesifo sikashukela esingaholela ekuqulekeni noma nasekufeni. Amaketoni esivivinyweni somchamo angakushukumisela ukuthi uthole ukwelashwa ngaphambi kokuba kuvele isimo esiphuthumayo sezokwelapha.
Amanye amagama: ukuhlolwa komchamo wamaketoni, ukuhlolwa kwe-ketone, amathoni womchamo, imizimba ye-ketone
Kusetshenziselwa ini?
Ukuhlolwa kuvame ukusetshenziselwa ukusiza ukuqapha abantu abasengozini enkulu yokuthuthukisa amaketoni. Lokhu kufaka phakathi abantu abanesifo sikashukela sohlobo 1 noma sohlobo 2. Uma unesifo sikashukela, ama-ketone asemchameni angasho ukuthi awutholi i-insulin eyanele. Uma ungenaso isifo sikashukela, usengaba sengozini yokuthuthukisa amathoni uma:
- Thola ukuhlanza okungapheli kanye / noma isifo sohudo
- Yiba nokuphazamiseka kokugaya ukudla
- Bamba iqhaza ekuzivocavoca kanzima
- Ukudla okune-carbohydrate ephansi kakhulu
- Unenkinga yokudla
- Bakhulelwe
Kungani ngidinga amaketoni ekuhlolweni komchamo?
Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda amaketoni ekuhlolweni komchamo uma unesifo sikashukela noma ezinye izinto ezinobungozi zokuthuthukisa amaketoni. Ungase futhi udinge lokhu kuhlolwa uma unezimpawu ze-ketoacidosis. Lokhu kufaka phakathi:
- Isicanucanu noma ukuhlanza
- Ubuhlungu besisu
- Ukudideka
- Ukuphefumula kanzima
- Ukuzizwa ngilele ngokweqile
Abantu abanesifo sikashukela sohlobo 1 basengozini enkulu ye-ketoacidosis.
Kwenzekani ngesikhathi samaketoni ekuhlolweni komchamo?
Amaketoni ekuhlolweni komchamo angenziwa ekhaya kanye naselebhu. Uma uselebhu, uzonikezwa imiyalo yokunikeza isampula "yokubamba ehlanzekile". Indlela yokubamba ehlanzekile ngokuvamile ifaka lezi zinyathelo ezilandelayo:
- Geza izandla zakho.
- Hlanza isitho sakho sangasese ngephedi yokuhlanza. Abesilisa kufanele basule ichopho lepipi labo. Abesifazane kufanele bavule amalebula abo futhi bahlanze kusuka ngaphambili kuya emuva.
- Qala ukuchama ungene endlini encane.
- Hambisa isitsha sokuqoqa ngaphansi kokusakaza kwakho komchamo.
- Qoqa okungenani i-ounce noma amabili umchamo ungene esitsheni, okufanele ube nomaka okhombisa inani.
- Qeda ukuchama ungene endlini encane.
- Buyisela isitsha sesampula njengokuyalelwa ngumhlinzeki wakho wezokunakekelwa kwempilo.
Uma wenza isivivinyo ekhaya, landela imiyalo esesikhwameni sakho sokuhlola. Ikhithi yakho izofaka iphasela lemichilo yokuhlolwa. Ungayalwa ukuthi unikeze isampula yokubamba ehlanzekile esitsheni njengoba kuchaziwe ngenhla noma ukubeka umucu wokuhlola ngqo ekusakazweni komchamo wakho. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nemiyalo ethile.
Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
Kungadingeka ukuthi uzile ukudla (ungadli noma uphuze) isikhathi esithile ngaphambi kokuthatha amaketoni ekuhlolweni komchamo. Buza umhlinzeki wakho wezempilo uma udinga ukuzila ukudla noma wenze olunye uhlobo lokulungiselela ngaphambi kokuhlolwa kwakho.
Ingabe zikhona izingozi esivivinyweni?
Ayikho ingozi eyaziwayo yokuba namaketoni ekuhlolweni komchamo.
Isho ukuthini imiphumela?
Imiphumela yakho yokuhlolwa ingaba inombolo ethile noma ifakwe kuhlu njengenani lamaketoni "amancane," "aphakathi nendawo" noma "amakhulu". Imiphumela ejwayelekile ingahluka, kuya ngokudla kwakho, izinga lomsebenzi, nezinye izinto. Ngenxa yokuthi amazinga aphezulu e-ketone angaba yingozi, qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngalokho okujwayelekile kuwe nokuthi imiphumela yakho isho ukuthini.
Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.
Ngabe kukhona okunye engidinga ukukwazi ngamaketoni ekuhlolweni komchamo?
AmaKetone test kits ayatholakala emakhemisi amaningi ngaphandle kwemithi kadokotela. Uma uhlela ukuhlola amaketoni ekhaya, cela umhlinzeki wakho wezokunakekelwa kwezempilo ngezincomo zokuthi iyiphi ikhithi engakulungela kakhulu. Ukuhlolwa komchamo wasekhaya kulula ukwenza futhi kunganikeza imiphumela enembile inqobo nje uma ulandela ngokucophelela yonke imiyalelo.
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
- I-American Diabetes Association [i-Inthanethi]. I-Arlington (VA): I-American Diabetes Association; c1995–2017. I-DKA (Ketoacidosis) namaKetoni; [kubuyekezwe u-2015 Mar 18; kukhonjiwe ngo-2017 Mar 19]; [cishe izikrini ezi-3]. Kutholakala ku: http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html?referrer
- UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Amaketoni: Umchamo; k. 351.
- Isikhungo Sikashukela sikaJoslin [Inthanethi]. IBoston: Isikhungo Sikashukela saseJoslin, iSikole Sezokwelapha saseHarvard; c2017. Ukuhlolwa kweKetone: Okudinga Ukwazi; [kucashunwe ngo-2017 Mar 19]; [cishe izikrini ezi-3]. Kutholakala ku: http://www.joslin.org/info/ketone_testing_what_you_need_to_now.html
- Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. I-Urinalysis: Izinhlobo Ezintathu Zokuhlolwa; [kucashunwe ngo-2017 Mar 19]; [cishe izikrini ezi-5]. Kutholakala ku: https://labtestsonline.org/understanding/analytes/urinalysis/ui-exams/start/1#ketones
- Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2017. Ukuhlolwa komchamo; [kucashunwe ngo-2017 Mar 19]; [cishe izikrini ezi-2]. Kutholakala ku: https://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/diagnosis-of-kidney-and-urinary-tract-disorders/urinalysis
- National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuphatha isifo sikashukela; 2016 Nov [icashunwe ngo-2017 Mar 19]; [cishe izikrini ezi-4]. Kutholakala ku: https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes
- Ukudla kukaPaoli A. Ketogenic Wokukhuluphala: Umngane noma Isitha? Int J Environ Res Impilo Yomphakathi [Inthanethi]. 2014 Feb 19 [icashunwe ngo-2019 Feb 1]; 11 (2): 2092-2107. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587
- Uhlelo lweSaint Francis Health [Internet]. I-Tulsa (KULUNGILE): Uhlelo lwezempilo lwe-Saint Francis; c2016. Imininingwane Yesineke: Ukuqoqa Isampula Ehlanzekile Yokubanjwa Komchamo; [kucashunwe ngo-2017 Ephreli 13]; [cishe izikrini ezi-3]. Kutholakala ku: https://www.saintfrancis.com/lab/Documents/Collecting%20a%20Clean%20Catch%20Urine.pdf
- Scribd [Inthanethi]. Scribd; c2018. I-Ketosis: Iyini i-ketosis? [kubuyekezwe i-2017 Mar 21; [icashunwe ngo-2019 Feb 1]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.scribd.com/document/368713988/Ketogenic-Diet
- Isikhungo iJohns Hopkins Lupus [Internet]. UJohn Hopkins Medicine; c2017. Ukuhlolwa komchamo; [kucashunwe ngo-2017 Mar 19]; [cishe izikrini ezi-3]. Kutholakala ku: https://www.hopkinslupus.org/lupus-tests/screening-laboratory-tests/urinalysis/
- Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida; c2019. Ukuhlolwa komchamo weKetones: Ukubuka konke; [kubuyekezwe ngo-2019 Feb 1; kucashunwe ngo-2019 Feb 1]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/ketones-urine-test
- I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: Imizimba yeKetone (Umchamo); [kucashunwe ngo-2017 Mar 19]; [cishe izikrini ezi-2]. Kutholakala ku: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=ketone_bodies_urine
Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.